19D2142343 CLIA NUMBER - WALMART PHARMACY #10-5022

Laboratory Demographics

CLIA Number: 19D2142343

Facility Name: WALMART PHARMACY #10-5022

Facility Address:
1901 TCHOUPITOULAS ST
NEW ORLEANS, LA
ZIP 70130
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Facility Phone Number: 504 522-6959

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1154455145

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	19D2142343
LAB Type	Pharmacy
Facility Name	WALMART PHARMACY #10-5022
Street	1901 TCHOUPITOULAS ST
City	NEW ORLEANS
State	LA
ZIP	70130
Phone	504 522-6959
CertificateType	4
CertificateEffectiveDate	1/9/2024
CertificateExpirationDate	1/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024