19D2141430 CLIA NUMBER - WALMART PHARMACY #10-5722

Laboratory Demographics

  • CLIA Code: 19D2141430
  • Facility Name: WALMART PHARMACY #10-5722
  • Facility Address: 3265 MANHATTAN BLVD
    HARVEY, LA
    ZIP 70058
  • Facility Phone: 504 366-5711
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CALVIN H. HO
  • NPI Number: 1497201420
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 19D2141430
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5722
Street 3265 MANHATTAN BLVD
City HARVEY
State LA
ZIP 70058
Phone 504 366-5711
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 CALVIN H. HO

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