19D2015501 CLIA NUMBER - WALGREENS 02980

Laboratory Demographics

  • CLIA Code: 19D2015501
  • Facility Name: WALGREENS 02980
  • Facility Address: 4747 S SHERWWOD FOREST BLVD
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 292-8975
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JARRED BINNEY
  • NPI Number: 1770598930
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015501
LAB Type Pharmacy
Facility Name WALGREENS 02980
Street 4747 S SHERWWOD FOREST BLVD
City BATON ROUGE
State LA
ZIP 70816
Phone 225 292-8975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director JARRED BINNEY

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