19D2015523 CLIA NUMBER - WALGREENS #03889

Laboratory Demographics

  • CLIA Code: 19D2015523
  • Facility Name: WALGREENS #03889
  • Facility Address: 4110 GENERAL DEGAULLE DR
    NEW ORLEANS, LA
    ZIP 70131
  • Facility Phone: 504 433-3297
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAVON R. FOXHALL
  • NPI Number: 1023023272
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015523
LAB Type Pharmacy
Facility Name WALGREENS #03889
Street 4110 GENERAL DEGAULLE DR
City NEW ORLEANS
State LA
ZIP 70131
Phone 504 433-3297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director CHAVON R. FOXHALL

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