19D2142294 CLIA NUMBER - WALMART PHARMACY #10-976

Laboratory Demographics

  • CLIA Code: 19D2142294
  • Facility Name: WALMART PHARMACY #10-976
  • Facility Address: 3360 FRONT ST
    WINNSBORO, LA
    ZIP 71295
  • Facility Phone: 318 435-9011
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL L. LUCAS
  • NPI Number: 1326065665
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142294
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-976
Street 3360 FRONT ST
City WINNSBORO
State LA
ZIP 71295
Phone 318 435-9011
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 DANIEL L. LUCAS

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