19D2141852 CLIA NUMBER - WALMART PHARMACY #10-1110

Laboratory Demographics

  • CLIA Code: 19D2141852
  • Facility Name: WALMART PHARMACY #10-1110
  • Facility Address: 833 STERLINGTON HWY
    FARMERVILLE, LA
    ZIP 71241
  • Facility Phone: 318 368-3280
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANORA L. WILLIAMS
  • NPI Number: 1982621256
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2141852
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1110
Street 833 STERLINGTON HWY
City FARMERVILLE
State LA
ZIP 71241
Phone 318 368-3280
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 LANORA L. WILLIAMS

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