19D2142346 CLIA NUMBER - WALMART PHARMACY #10-5328

Laboratory Demographics

  • CLIA Code: 19D2142346
  • Facility Name: WALMART PHARMACY #10-5328
  • Facility Address: 14241 COURSEY BLVD
    BATON ROUGE, LA
    ZIP 70817
  • Facility Phone: 225 752-7949
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LUU NUO
  • NPI Number: 1780601054
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142346
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-5328
Street 14241 COURSEY BLVD
City BATON ROUGE
State LA
ZIP 70817
Phone 225 752-7949
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 LUU NUO

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