19D2141851 CLIA NUMBER - WALMART PHARMACY #10-1109

Laboratory Demographics

  • CLIA Code: 19D2141851
  • Facility Name: WALMART PHARMACY #10-1109
  • Facility Address: 1806 JULIA ST
    RAYVILLE, LA
    ZIP 71269
  • Facility Phone: 318 728-5917
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY M. SMITH
  • NPI Number: 1609893957
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141851
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1109
Street 1806 JULIA ST
City RAYVILLE
State LA
ZIP 71269
Phone 318 728-5917
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 CHRISTY M. SMITH

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