19D2015513 CLIA NUMBER - WALGREENS #02920

Laboratory Demographics

  • CLIA Code: 19D2015513
  • Facility Name: WALGREENS #02920
  • Facility Address: 1021 BEGLIS PKWY
    SULPHUR, LA
    ZIP 70663
  • Facility Phone: 337 527-6575
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SI C. VAN
  • NPI Number: 1861407025
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015513
LAB Type Pharmacy
Facility Name WALGREENS #02920
Street 1021 BEGLIS PKWY
City SULPHUR
State LA
ZIP 70663
Phone 337 527-6575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Pharmacy
Lab Director SI C. VAN

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