19D1033719 CLIA NUMBER - ALBERTSONS PHARMACY #3747

Laboratory Demographics

  • CLIA Code: 19D1033719
  • Facility Name: ALBERTSONS PHARMACY #3747
  • Facility Address: 15128 AIRLINE HIGHWAY
    BATON ROUGE, LA
    ZIP 70817
  • Facility Phone: 225 751-4415
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENTON DOIRON
  • NPI Number: 1891735262
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033719
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #3747
Street 15128 AIRLINE HIGHWAY
City BATON ROUGE
State LA
ZIP 70817
Phone 225 751-4415
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Pharmacy
Lab Director DENTON DOIRON

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