19D2015525 CLIA NUMBER - WALGREENS 03199

Laboratory Demographics

  • CLIA Code: 19D2015525
  • Facility Name: WALGREENS 03199
  • Facility Address: 1891 BARARARIA BLVD
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 340-2211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MONIQUE B. DOMINGUE
  • NPI Number: 1932114188
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015525
LAB Type Pharmacy
Facility Name WALGREENS 03199
Street 1891 BARARARIA BLVD
City MARRERO
State LA
ZIP 70072
Phone 504 340-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director MONIQUE B. DOMINGUE

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