19D2015518 CLIA NUMBER - WALGREENS # 07095

Laboratory Demographics

  • CLIA Code: 19D2015518
  • Facility Name: WALGREENS # 07095
  • Facility Address: 1435 W TUNNEL BLVD
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 223-2945
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIMMY DONALD
  • NPI Number: 1396750568
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015518
LAB Type Pharmacy
Facility Name WALGREENS # 07095
Street 1435 W TUNNEL BLVD
City HOUMA
State LA
ZIP 70360
Phone 985 223-2945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Pharmacy
Lab Director JIMMY DONALD

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