19D2141228 CLIA NUMBER - WALMART PHARMACY #10-2822

Laboratory Demographics

  • CLIA Code: 19D2141228
  • Facility Name: WALMART PHARMACY #10-2822
  • Facility Address: 28270 WALKER RD S
    WALKER, LA
    ZIP 70785
  • Facility Phone: 225 667-6398
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANGELA H. ROSS
  • NPI Number: 1154348423
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141228
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2822
Street 28270 WALKER RD S
City WALKER
State LA
ZIP 70785
Phone 225 667-6398
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 ANGELA H. ROSS

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