19D2015538 CLIA NUMBER - WALGREENS #02012

Laboratory Demographics

  • CLIA Code: 19D2015538
  • Facility Name: WALGREENS #02012
  • Facility Address: 4444 JACKSON ST
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 448-9340
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RAISA L. HOWARD
  • NPI Number: 1699780874
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2015538
LAB Type Pharmacy
Facility Name WALGREENS #02012
Street 4444 JACKSON ST
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 448-9340
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 RAISA L. HOWARD

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