CLIA lab
CLIA 19D2142300: Walmart Pharmacy #10-1108
Oak Grove, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2142300 belongs to Walmart Pharmacy #10-1108 in Oak Grove, LA.
Certificate of Waiver, effective January 9, 2026, expires January 8, 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
- January 9, 2026
- Certificate expiration
- January 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2018
- 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
- 19D2142300
- Lab name
- Walmart Pharmacy #10-1108
- Address
- 705 S Constitution Ave, Oak Grove, LA 71263
- Phone
- (318) 428-9641
- Fax
- (318) 428-9277
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.
Other labs in Oak Grove, LA
- Bma-Oak Grove Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility19D0946035
- Carroll Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility19D0881765
- Community Medical ClinicCertificate of Waiver, Physician office19D0902976
- Oak Grove Medical ClinicCertificate of Compliance, Physician office19D0674920
- West Carroll Medical ClinicCertificate of Waiver, Physician office19D0464390
- West Carroll Memorial Care CenterCertificate of Waiver, Skilled nursing or nursing facility19D0649337
- West Carroll Memorial Home HealthCertificate of Waiver, Home health agency19D0866336
- West Carroll Memorial HospitalCertificate of Compliance, Hospital19D0464394
- West Carroll Parish Ambulance DistrictCertificate of Waiver, Mobile lab19D0904227
Related
Questions
What is the CLIA number for Walmart Pharmacy #10-1108 in Oak Grove?
19D2142300, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy #10-1108 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2142300 expire?
The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.