19D2015520 CLIA NUMBER - WALGREENS # 05516

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Laboratory Demographics

CLIA Number: 19D2015520

Facility Name: WALGREENS # 05516

Facility Address:
4600 WESTBANK EXPY
MARRERO, LA
ZIP 70072
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Facility Phone Number: 504 340-6337

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1760497192

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024