19D2142437 CLIA NUMBER - WALMART PHARMACY #10-539

Laboratory Demographics

  • CLIA Code: 19D2142437
  • Facility Name: WALMART PHARMACY #10-539
  • Facility Address: 2050 N MALL DR
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 445-4308
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NADA D. HALUM
  • NPI Number: 1255358594
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2142437
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-539
Street 2050 N MALL DR
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 445-4308
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 NADA D. HALUM

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