19D2142434 CLIA NUMBER - WALMART PHARMACY #10-1206

Laboratory Demographics

  • CLIA Code: 19D2142434
  • Facility Name: WALMART PHARMACY #10-1206
  • Facility Address: 3132 COLLEGE DR
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 952-0776
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY N. DELONE
  • NPI Number: 1154348407
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142434
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-1206
Street 3132 COLLEGE DR
City BATON ROUGE
State LA
ZIP 70808
Phone 225 952-0776
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 COURTNEY N. DELONE

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