19D2141008 CLIA NUMBER - WALMART PHARMACY #10-761

Laboratory Demographics

  • CLIA Code: 19D2141008
  • Facility Name: WALMART PHARMACY #10-761
  • Facility Address: 4858 HIGHWAY 1
    RACELAND, LA
    ZIP 70394
  • Facility Phone: 985 532-5527
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOTT M. FORET
  • NPI Number: 1992723480
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141008
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-761
Street 4858 HIGHWAY 1
City RACELAND
State LA
ZIP 70394
Phone 985 532-5527
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 SCOTT M. FORET

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