19D1033777 CLIA NUMBER - ALBERTSONS PHARMACY #2798

Laboratory Demographics

  • CLIA Code: 19D1033777
  • Facility Name: ALBERTSONS PHARMACY #2798
  • Facility Address: 2750 COUNTRY CLUB ROAD
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 480-4132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARLA JUNEAU
  • NPI Number: 1700826179
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033777
LAB Type Pharmacy
Facility Name ALBERTSONS PHARMACY #2798
Street 2750 COUNTRY CLUB ROAD
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 480-4132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Pharmacy
Lab Director CARLA JUNEAU

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