19D2141426 CLIA NUMBER - WALMART PHARMACY #10-4679

Laboratory Demographics

  • CLIA Code: 19D2141426
  • Facility Name: WALMART PHARMACY #10-4679
  • Facility Address: 34025 LA HIGHWAY 16
    DENHAM SPRINGS, LA
    ZIP 70706
  • Facility Phone: 225 271-2314
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOANG NGUYEN
  • NPI Number: 1700159522
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141426
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-4679
Street 34025 LA HIGHWAY 16
City DENHAM SPRINGS
State LA
ZIP 70706
Phone 225 271-2314
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 HOANG NGUYEN

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