19D2015533 CLIA NUMBER - WALGREENS #05801

Laboratory Demographics

  • CLIA Code: 19D2015533
  • Facility Name: WALGREENS #05801
  • Facility Address: 1815 W AIRLINE HWY
    LAPLACE, LA
    ZIP 70068
  • Facility Phone: 985 651-9517
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE W. FORET
  • NPI Number: 1306851571
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015533
LAB Type Pharmacy
Facility Name WALGREENS #05801
Street 1815 W AIRLINE HWY
City LAPLACE
State LA
ZIP 70068
Phone 985 651-9517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director LESLIE W. FORET

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