19D2142321 CLIA NUMBER - WALMART PHARMACY #10-3745

Laboratory Demographics

  • CLIA Code: 19D2142321
  • Facility Name: WALMART PHARMACY #10-3745
  • Facility Address: 1840 MCKEEN PLACE
    MONROE, LA
    ZIP 71201
  • Facility Phone: (318) 267-3617
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LEXIE CHRISTIAN
  • NPI Number: 1235532045
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142321
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3745
Street 1840 MCKEEN PLACE
City MONROE
State LA
ZIP 71201
Phone 3182673617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2026
Certificate Expiration Date 1/8/2028
Facility Type Pharmacy
Lab Director LEXIE CHRISTIAN

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This page was last updated on: 5/18/2026