19D2015512 CLIA NUMBER - WALGREENS #04566

Laboratory Demographics

  • CLIA Code: 19D2015512
  • Facility Name: WALGREENS #04566
  • Facility Address: 2700 JOHNSTON ST
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 232-9317
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENIKKA L. HULL
  • NPI Number: 1407861677
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2015512
LAB Type Pharmacy
Facility Name WALGREENS #04566
Street 2700 JOHNSTON ST
City LAFAYETTE
State LA
ZIP 70503
Phone 337 232-9317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director DENIKKA L. HULL

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