19D2142292 CLIA NUMBER - WALMART PHARMACY #10-911

Laboratory Demographics

  • CLIA Code: 19D2142292
  • Facility Name: WALMART PHARMACY #10-911
  • Facility Address: 4810 LAPALCO BLVD
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 341-1363
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBYN K. GRAY
  • NPI Number: 1699792937
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142292
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-911
Street 4810 LAPALCO BLVD
City MARRERO
State LA
ZIP 70072
Phone 504 341-1363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Pharmacy
Lab Director ROBYN K. GRAY

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