CLIA lab

CLIA 19D2141207: Walmart Pharmacy #10-1136

Port Allen, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D2141207 belongs to Walmart Pharmacy #10-1136 in Port Allen, LA.

Certificate of Waiver, effective December 11, 2025, expires December 10, 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
December 11, 2025
Certificate expiration
December 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 11, 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
19D2141207
Lab name
Walmart Pharmacy #10-1136
Address
3255 La Highway 1 S, Port Allen, LA 70767
Phone
(225) 749-7454
Fax
(225) 749-7455

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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Related

Questions

What is the CLIA number for Walmart Pharmacy #10-1136 in Port Allen?

19D2141207, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walmart Pharmacy #10-1136 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2141207 expire?

The CMS file lists December 10, 2027 as the certificate expiration date; the certificate took effect December 11, 2025.

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