19D2141421 CLIA NUMBER - WALMART PHARMACY #10-532

Laboratory Demographics

  • CLIA Code: 19D2141421
  • Facility Name: WALMART PHARMACY #10-532
  • Facility Address: 308 N AIRLINE HWY
    GONZALES, LA
    ZIP 70737
  • Facility Phone: 225 647-0515
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THUY L. TRAN
  • NPI Number: 1053338392
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141421
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-532
Street 308 N AIRLINE HWY
City GONZALES
State LA
ZIP 70737
Phone 225 647-0515
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 THUY L. TRAN

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