19D2141232 CLIA NUMBER - WALMART PHARMACY #10-3736

Laboratory Demographics

  • CLIA Code: 19D2141232
  • Facility Name: WALMART PHARMACY #10-3736
  • Facility Address: 2750 HWY 28 EAST
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 229-4185
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AHMAD S. ABDELSALAM
  • NPI Number: 1700289444
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141232
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3736
Street 2750 HWY 28 EAST
City PINEVILLE
State LA
ZIP 71360
Phone 318 229-4185
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 AHMAD S. ABDELSALAM

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