19D2142433 CLIA NUMBER - WALMART PHARMACY #10-3483

Laboratory Demographics

  • CLIA Code: 19D2142433
  • Facility Name: WALMART PHARMACY #10-3483
  • Facility Address: 933 GRAND CAILLOU RD
    HOUMA, LA
    ZIP 70363
  • Facility Phone: 985 917-0121
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH T. RAFIZODEH-RAFFI
  • NPI Number: 1962429233
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142433
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-3483
Street 933 GRAND CAILLOU RD
City HOUMA
State LA
ZIP 70363
Phone 985 917-0121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Pharmacy
Lab Director SARAH T. RAFIZODEH-RAFFI

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