19D1033757 CLIA NUMBER - ALBERTSONS PHARMACY #2756

Laboratory Demographics

  • CLIA Code: 19D1033757
  • Facility Name: ALBERTSONS PHARMACY #2756
  • Facility Address: 1210 ALBERTSON PKWY
    BROUSSARD, LA
    ZIP 70518
  • Facility Phone: 337 839-0530
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT EASTIN JR
  • NPI Number: 1245279629
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033757
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #2756
Street 1210 ALBERTSON PKWY
City BROUSSARD
State LA
ZIP 70518
Phone 337 839-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Pharmacy
Lab Director ROBERT EASTIN JR

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