19D2141205 CLIA NUMBER - WALMART PHARMACY #10-876

Laboratory Demographics

  • CLIA Code: 19D2141205
  • Facility Name: WALMART PHARMACY #10-876
  • Facility Address: 25800 HIGHWAY 171
    MANY, LA
    ZIP 71449
  • Facility Phone: 318 256-6378
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRIAN C. JOHNSON
  • NPI Number: 1063439305
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2141205
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-876
Street 25800 HIGHWAY 171
City MANY
State LA
ZIP 71449
Phone 318 256-6378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Pharmacy
Lab Director BRIAN C. JOHNSON

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