19D2144943 CLIA NUMBER - WALMART PHARMACY #10-7241

Laboratory Demographics

  • CLIA Code: 19D2144943
  • Facility Name: WALMART PHARMACY #10-7241
  • Facility Address: 25820 LA HWY 16
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 225 369-6929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW BORDELUN
  • NPI Number: 1518364694
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2144943
LAB Type Pharmacy
Facility Name WALMART PHARMACY #10-7241
Street 25820 LA HWY 16
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 225 369-6929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Pharmacy
Lab Director MATTHEW BORDELUN

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