19D2015507 CLIA NUMBER - WALGREENS 07166

Home > CLIA Lookup > 19D2015507

Laboratory Demographics

CLIA Number: 19D2015507

Facility Name: WALGREENS 07166

Facility Address:
1102 PARKVIEW DRIVE
NEW IBERIA, LA
ZIP 70563
Get Directions

Facility Phone Number: 337 560-1807

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1588679757

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2015507
LAB Type	Pharmacy
Facility Name	WALGREENS 07166
Street	1102 PARKVIEW DRIVE
City	NEW IBERIA
State	LA
ZIP	70563
Phone	337 560-1807
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024