19D2141231 CLIA NUMBER - WALMART PHARMACY #10-3042

Laboratory Demographics

  • CLIA Code: 19D2141231
  • Facility Name: WALMART PHARMACY #10-3042
  • Facility Address: 2800 N HWY 190
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 327-6315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JESSICA N. MORGAN
  • NPI Number: 1134463888
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141231
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3042
Street 2800 N HWY 190
City COVINGTON
State LA
ZIP 70433
Phone 985 327-6315
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 JESSICA N. MORGAN

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