19D2015536 CLIA NUMBER - WALGREENS 06274

Laboratory Demographics

  • CLIA Code: 19D2015536
  • Facility Name: WALGREENS 06274
  • Facility Address: 3304 CYPRESS ST
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 651-9171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON KEASTER
  • NPI Number: 1215942487
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015536
LAB Type Pharmacy
Facility Name WALGREENS 06274
Street 3304 CYPRESS ST
City WEST MONROE
State LA
ZIP 71291
Phone 318 651-9171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Pharmacy
Lab Director BRANDON KEASTER

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