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19D2129674 CLIA NUMBER - WALMART PHARMACY 10-3703

Laboratory Demographics

CLIA Number: 19D2129674

Facility Name: WALMART PHARMACY 10-3703

Facility Address:
3520 WILLIAMS BLVD
KENNER, LA
ZIP 70065
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Facility Phone Number: 504 466-6848

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1427077403

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 19D2129674
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-3703
Street 3520 WILLIAMS BLVD
City KENNER
State LA
ZIP 70065
Phone 504 466-6848
CertificateType 4
CertificateEffectiveDate 4/24/2023
CertificateExpirationDate 4/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024