19D2142245 CLIA NUMBER - WALMART PHARMACY #10-489

Laboratory Demographics

  • CLIA Code: 19D2142245
  • Facility Name: WALMART PHARMACY #10-489
  • Facility Address: 2799 W THOMAS ST
    HAMMOND, LA
    ZIP 70401
  • Facility Phone: 985 542-5582
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEANINE R. GILBERT
  • NPI Number: 1235156571
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142245
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-489
Street 2799 W THOMAS ST
City HAMMOND
State LA
ZIP 70401
Phone 985 542-5582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Pharmacy
Lab Director JEANINE R. GILBERT

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