19D1033705 CLIA NUMBER - ALBERTSONS PHARMACY #0714

Laboratory Demographics

  • CLIA Code: 19D1033705
  • Facility Name: ALBERTSONS PHARMACY #0714
  • Facility Address: 1711 WEST THOMAS
    HAMMOND, LA
    ZIP 70401
  • Facility Phone: 985 345-4901
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEJEUNEE DARENBURG
  • NPI Number: 1255370631
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033705
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #0714
Street 1711 WEST THOMAS
City HAMMOND
State LA
ZIP 70401
Phone 985 345-4901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Pharmacy
Lab Director DEJEUNEE DARENBURG

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