19D2015520 CLIA NUMBER - WALGREENS # 05516

Laboratory Demographics

  • CLIA Code: 19D2015520
  • Facility Name: WALGREENS # 05516
  • Facility Address: 4600 WESTBANK EXPY
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 340-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHI LINH DICKSON
  • NPI Number: 1760497192
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015520
LAB Type Pharmacy
Facility Name WALGREENS # 05516
Street 4600 WESTBANK EXPY
City MARRERO
State LA
ZIP 70072
Phone 504 340-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director PHI LINH DICKSON

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