CLIA lab
CLIA 19D2111870: Walmart Pharmacy 10-5774
Houma, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2111870 belongs to Walmart Pharmacy 10-5774 in Houma, LA.
Certificate of Waiver, effective April 18, 2026, expires April 17, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2016
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D2111870
- Lab name
- Walmart Pharmacy 10-5774
- Address
- 6411 W Park Ave, Houma, LA 70364
- Phone
- (985) 217-3664
- Fax
- (985) 217-3663
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arunavathi Sangisetty, MD, ApmcCertificate of Accreditation, Physician office19D0988844
- BHG Lxii, LLCCertificate of Waiver, Other19D2299411
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- Biomat USA, IncCertificate of Accreditation, Other19D2122101
- Calcasieu Urgent Care, LLCCertificate of Waiver, Physician office19D2231313
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Related
Questions
What is the CLIA number for Walmart Pharmacy 10-5774 in Houma?
19D2111870, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-5774 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2111870 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.