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19D2134532 CLIA NUMBER - WALMART PHARMACY 10-0469

Laboratory Demographics

CLIA Number: 19D2134532

Facility Name: WALMART PHARMACY 10-0469

Facility Address:
3415 HIGHWAY 14
LAKE CHARLES, LA
ZIP 70607
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Facility Phone Number: 337 474-3503

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1164440673

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 19D2134532
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0469
Street 3415 HIGHWAY 14
City LAKE CHARLES
State LA
ZIP 70607
Phone 337 474-3503
CertificateType 4
CertificateEffectiveDate 8/4/2023
CertificateExpirationDate 8/3/2025
FacilityType Waiver

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