19D2135989 CLIA NUMBER - WALMART PHARMACY 10-0386

Laboratory Demographics

  • CLIA Code: 19D2135989
  • Facility Name: WALMART PHARMACY 10-0386
  • Facility Address: 303 E INTERSTATE DR
    JENNINGS, LA
    ZIP 70546
  • Facility Phone: 337 824-9010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGAN Z. WILD
  • NPI Number: 1144247487
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2135989
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-0386
Street 303 E INTERSTATE DR
City JENNINGS
State LA
ZIP 70546
Phone 337 824-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Pharmacy
Lab Director REGAN Z. WILD

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This page was last updated on: 9/29/2025