19D2141843 CLIA NUMBER - WALMART PHARMACY #10-307

Laboratory Demographics

  • CLIA Code: 19D2141843
  • Facility Name: WALMART PHARMACY #10-307
  • Facility Address: 1025 GLENWOOD DR
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 325-8346
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIMBERLY H. BAKER
  • NPI Number: 1346267689
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141843
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-307
Street 1025 GLENWOOD DR
City WEST MONROE
State LA
ZIP 71291
Phone 318 325-8346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Pharmacy
Lab Director KIMBERLY H. BAKER

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