19D2142308 CLIA NUMBER - WALMART PHARMACY #10-1193

Laboratory Demographics

  • CLIA Code: 19D2142308
  • Facility Name: WALMART PHARMACY #10-1193
  • Facility Address: 2701 LOUISVILLE AVE
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 361-0690
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN J. TOMPKINS
  • NPI Number: 1386048783
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 19D2142308
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1193
Street 2701 LOUISVILLE AVE
City MONROE
State LA
ZIP 71201
Phone 318 361-0690
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 KEVIN J. TOMPKINS

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