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19D2141848 CLIA NUMBER - WALMART PHARMACY #10-961

Laboratory Demographics

CLIA Number: 19D2141848

Facility Name: WALMART PHARMACY #10-961

Facility Address:
1616 W AIRLINE HWY
LAPLACE, LA
ZIP 70068
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Facility Phone Number: 985 652-8781

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1962429209

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 19D2141848
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-961
Street 1616 W AIRLINE HWY
City LAPLACE
State LA
ZIP 70068
Phone 985 652-8781
CertificateType 4
CertificateEffectiveDate 12/22/2023
CertificateExpirationDate 12/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024