19D2015526 CLIA NUMBER - WALGREENS # 15200

Laboratory Demographics

  • CLIA Code: 19D2015526
  • Facility Name: WALGREENS # 15200
  • Facility Address: 2001 CAROL SUE AVE
    GRETNA, LA
    ZIP 70056
  • Facility Phone: 504 366-1535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN G. SIBLEY
  • NPI Number: 1497760656
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015526
LAB Type Pharmacy
Facility Name WALGREENS # 15200
Street 2001 CAROL SUE AVE
City GRETNA
State LA
ZIP 70056
Phone 504 366-1535
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 LAUREN G. SIBLEY

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