19D2141849 CLIA NUMBER - WALMART PHARMACY #10-2706

Laboratory Demographics

  • CLIA Code: 19D2141849
  • Facility Name: WALMART PHARMACY #10-2706
  • Facility Address: 1501 MANHATTAN BLVD
    HARVEY, LA
    ZIP 70058
  • Facility Phone: 504 366-3318
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANNON M. OLIVERO
  • NPI Number: 1245257518
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141849
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-2706
Street 1501 MANHATTAN BLVD
City HARVEY
State LA
ZIP 70058
Phone 504 366-3318
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 SHANNON M. OLIVERO

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