19D2140992 CLIA NUMBER - WALMART PHARMACY #10-541

Laboratory Demographics

  • CLIA Code: 19D2140992
  • Facility Name: WALMART PHARMACY #10-541
  • Facility Address: 880 N HIGHWAY 190
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 893-9818
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW A. GONZALES
  • NPI Number: 1245257583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2140992
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-541
Street 880 N HIGHWAY 190
City COVINGTON
State LA
ZIP 70433
Phone 985 893-9818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Pharmacy
Lab Director ANDREW A. GONZALES

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