19D2015523 CLIA NUMBER - WALGREENS #03889

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Laboratory Demographics

CLIA Number: 19D2015523

Facility Name: WALGREENS #03889

Facility Address:
4110 GENERAL DEGAULLE DR
NEW ORLEANS, LA
ZIP 70131
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Facility Phone Number: 504 433-3297

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023023272

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	19D2015523
LAB Type	Pharmacy
Facility Name	WALGREENS #03889
Street	4110 GENERAL DEGAULLE DR
City	NEW ORLEANS
State	LA
ZIP	70131
Phone	504 433-3297
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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