19D2015507 CLIA NUMBER - WALGREENS 07166

Laboratory Demographics

  • CLIA Code: 19D2015507
  • Facility Name: WALGREENS 07166
  • Facility Address: 1102 PARKVIEW DRIVE
    NEW IBERIA, LA
    ZIP 70563
  • Facility Phone: 337 560-1807
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONI M. COURVILLE
  • NPI Number: 1588679757
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Pharmacy
Lab Director JONI M. COURVILLE

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