19D2143376 CLIA NUMBER - WALMART PHARMACY #10-553

Laboratory Demographics

  • CLIA Code: 19D2143376
  • Facility Name: WALMART PHARMACY #10-553
  • Facility Address: 39142 NATCHEZ DR
    SLIDELL, LA
    ZIP 70461
  • Facility Phone: 985 649-2687
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STACEY L. GIANCONTIERI
  • NPI Number: 1972520237
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2143376
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-553
Street 39142 NATCHEZ DR
City SLIDELL
State LA
ZIP 70461
Phone 985 649-2687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Pharmacy
Lab Director STACEY L. GIANCONTIERI

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