19D2140997 CLIA NUMBER - WALMART PHARMACY #10-542

Laboratory Demographics

  • CLIA Code: 19D2140997
  • Facility Name: WALMART PHARMACY #10-542
  • Facility Address: 1633 MARTIN LUTHER KING JR BLVD
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 851-3284
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSIE B. KRAEMER
  • NPI Number: 1710905203
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2140997
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-542
Street 1633 MARTIN LUTHER KING JR BLVD
City HOUMA
State LA
ZIP 70360
Phone 985 851-3284
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 LINDSIE B. KRAEMER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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