The removal of phosphate from agricultural runoff is of great importance to mitigate an overabundance of nutrients discharging into receiving water bodies, which are susceptible to eutrophication. In this study, a La-loaded geopolymer was produced by adding metakaolin within an alkaline medium, consisting of sodium silicate (Na2SiO3) and sodium hydroxide (NaOH). The ratio of Na2SiO3:NaOH within the geopolymer slurry was manipulated to evaluate its effect on phosphate adsorption capacity. The 1.54 ratio yielded the highest adsorption capacity of 33.65 mg g−1. However, due to structural strength, safety, and economic considerations, the 2.0 ratio was used for the isotherm and kinetic adsorption testing. The La-loaded geopolymer exhibited higher phosphate removal in batch adsorption experiments at an acidic level (pH 4) and elevated temperature (40 °C). Moreover, ionic strength (3.5–20 mM) had a negligible impact on phosphate removal, indicating inner-sphere complexation as the main mechanism of adsorption. Additionally, bicarbonate and humic acid increased phosphate removal, whereas sulfate slightly decreased adsorption capacity. The La-loaded geopolymer was further evaluated using a synthetic agricultural solution, which yielded a Type III adsorption isotherm, demonstrating unrestricted multilayer phosphate adsorption. Results from this study verified the La-loaded geopolymer is a promising adsorbent for phosphate removal from agricultural runoff and underlined the importance of matrix effects on treatment performance.