19D2141428 CLIA NUMBER - WALMART PHARMACY #10-3727

Laboratory Demographics

  • CLIA Code: 19D2141428
  • Facility Name: WALMART PHARMACY #10-3727
  • Facility Address: 812 BELLEAU WOOD DR
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 625-3769
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEANN R. MALONE
  • NPI Number: 1093111809
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141428
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3727
Street 812 BELLEAU WOOD DR
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 625-3769
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 LEANN R. MALONE

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