19D1033565 CLIA NUMBER - ALBERTSONS PHARMACY #1311

Laboratory Demographics

  • CLIA Code: 19D1033565
  • Facility Name: ALBERTSONS PHARMACY #1311
  • Facility Address: 7515 PERKINS ROAD
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 769-6084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: COURTNEY C. EDWARDS
  • NPI Number: 1962449413
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033565
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #1311
Street 7515 PERKINS ROAD
City BATON ROUGE
State LA
ZIP 70808
Phone 225 769-6084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Pharmacy
Lab Director COURTNEY C. EDWARDS

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This page was last updated on: 9/29/2025