19D2142437 CLIA NUMBER - WALMART PHARMACY #10-539

Laboratory Demographics

CLIA Number: 19D2142437

Facility Name: WALMART PHARMACY #10-539

Facility Address:
2050 N MALL DR
ALEXANDRIA, LA
ZIP 71301
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Facility Phone Number: 318 445-4308

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255358594

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	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
CertificateType	4
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Waiver

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