19D2141418 CLIA NUMBER - WALMART PHARMACY #10-312

Laboratory Demographics

  • CLIA Code: 19D2141418
  • Facility Name: WALMART PHARMACY #10-312
  • Facility Address: 891 E LA SALLE ST
    VILLE PLATTE, LA
    ZIP 70586
  • Facility Phone: 337 363-4934
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AKWASI AKOSAH
  • NPI Number: 1164449435
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141418
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-312
Street 891 E LA SALLE ST
City VILLE PLATTE
State LA
ZIP 70586
Phone 337 363-4934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Pharmacy
Lab Director AKWASI AKOSAH

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