CLIA lab
CLIA 19D2138572: Walmart Pharmacy 10-0505
Deridder, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2138572 belongs to Walmart Pharmacy 10-0505 in Deridder, LA.
Certificate of Waiver, effective October 20, 2025, expires October 19, 2027.
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
- October 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2017
- 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
- 19D2138572
- Lab name
- Walmart Pharmacy 10-0505
- Address
- 1125 N Pine Street, Deridder, LA 70634
- Phone
- (337) 462-5794
- Fax
- (337) 462-5796
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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- Allegiance Home Health SwlaCertificate of Waiver, Home health agency19D2230722
- Bardin Dermatology, LLCCertificate of Waiver, Physician office19D2185371
- Beauregard Cardiology CenterCertificate of Waiver, Physician office19D2261898
- Beauregard Family Medical Center LLCCertificate of Waiver, Physician office19D2109914
- Beauregard Family MedicineCertificate of Waiver, Physician office19D2087122
- Beauregard Home HealthCertificate of Waiver, Home health agency19D0933239
- Beauregard Internal Medicine Center, LLCCertificate of Waiver, Rural health clinic19D2109908
- Beauregard Medical & Surgical Center, LLCCertificate of Waiver, Rural health clinic19D2109909
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-0505 in Deridder?
19D2138572, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-0505 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2138572 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.