19D1033775 CLIA NUMBER - ALBERTSONS PHARMACH #3792 ALBERTSONS LLC

Laboratory Demographics

  • CLIA Code: 19D1033775
  • Facility Name: ALBERTSONS PHARMACH #3792 ALBERTSONS LLC
  • Facility Address: 9960 BLUEBONNET BLVD
    BATON ROUGE, LA
    ZIP 70810
  • Facility Phone: 225 768-7950
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREA BAHAM
  • NPI Number: 1063451441
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1033775
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACH #3792 ALBERTSONS LLC
Street 9960 BLUEBONNET BLVD
City BATON ROUGE
State LA
ZIP 70810
Phone 225 768-7950
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 ANDREA BAHAM

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