19D1033753 CLIA NUMBER - ALBERTSONS PHARMACY #3750 ALBERTSONS LLC

Laboratory Demographics

  • CLIA Code: 19D1033753
  • Facility Name: ALBERTSONS PHARMACY #3750 ALBERTSONS LLC
  • Facility Address: 4857 GOVERNMENT STREET
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 216-2309
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN HAYES
  • NPI Number: 1518906999
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033753
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #3750 ALBERTSONS LLC
Street 4857 GOVERNMENT STREET
City BATON ROUGE
State LA
ZIP 70806
Phone 225 216-2309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director JOHN HAYES

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