19D2015535 CLIA NUMBER - WALGREENS 09182

Laboratory Demographics

  • CLIA Code: 19D2015535
  • Facility Name: WALGREENS 09182
  • Facility Address: 3400 MILITARY HWY
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 640-8066
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON S. EDDLEMON
  • NPI Number: 1881609063
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2015535
LAB Type Pharmacy
Facility Name WALGREENS 09182
Street 3400 MILITARY HWY
City PINEVILLE
State LA
ZIP 71360
Phone 318 640-8066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director BRANDON S. EDDLEMON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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