19D2015530 CLIA NUMBER - WALGREENS # 03047

Laboratory Demographics

  • CLIA Code: 19D2015530
  • Facility Name: WALGREENS # 03047
  • Facility Address: 5112 ESSEN LN
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 469-7224
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROGER HUYGUES
  • NPI Number: 1508313974
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015530
LAB Type Pharmacy
Facility Name WALGREENS # 03047
Street 5112 ESSEN LN
City BATON ROUGE
State LA
ZIP 70809
Phone 225 469-7224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Pharmacy
Lab Director ROGER HUYGUES

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