19D1033569 CLIA NUMBER - ALBERTSONS PHARMACY #3713

Laboratory Demographics

  • CLIA Code: 19D1033569
  • Facility Name: ALBERTSONS PHARMACY #3713
  • Facility Address: 15232 GEORGE O'NEAL ROAD
    BATON ROUGE, LA
    ZIP 70817
  • Facility Phone: 225 753-0805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICTORIA JACKSON
  • NPI Number: 1982643367
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1033569
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #3713
Street 15232 GEORGE O'NEAL ROAD
City BATON ROUGE
State LA
ZIP 70817
Phone 225 753-0805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Pharmacy
Lab Director VICTORIA JACKSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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