19D2140273 CLIA NUMBER - WALMART PHARMACY 10-485

Laboratory Demographics

  • CLIA Code: 19D2140273
  • Facility Name: WALMART PHARMACY 10-485
  • Facility Address: 37000 HIGHWAY 3089
    DONALDSONVILLE, LA
    ZIP 70346
  • Facility Phone: 225 473-1774
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VIRGINIA BAUDOIN
  • NPI Number: 1417974775
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2140273
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-485
Street 37000 HIGHWAY 3089
City DONALDSONVILLE
State LA
ZIP 70346
Phone 225 473-1774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Pharmacy
Lab Director VIRGINIA BAUDOIN

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