19D2015540 CLIA NUMBER - WALGREENS #09086

Laboratory Demographics

  • CLIA Code: 19D2015540
  • Facility Name: WALGREENS #09086
  • Facility Address: 2801 LOUISVILLE AVE
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 387-6023
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OSAMA A. ALAWIN
  • NPI Number: 1144235326
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2015540
LAB Type Pharmacy
Facility Name WALGREENS #09086
Street 2801 LOUISVILLE AVE
City MONROE
State LA
ZIP 71201
Phone 318 387-6023
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 OSAMA A. ALAWIN

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