19D2015542 CLIA NUMBER - WALGREENS #05040

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Laboratory Demographics

CLIA Number: 19D2015542

Facility Name: WALGREENS #05040

Facility Address:
1801 ST CHARLES AVE
NEW ORLEANS, LA
ZIP 70130
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Facility Phone Number: 504 561-8458

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407861669

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2015542
LAB Type	Pharmacy
Facility Name	WALGREENS #05040
Street	1801 ST CHARLES AVE
City	NEW ORLEANS
State	LA
ZIP	70130
Phone	504 561-8458
CertificateType	4
CertificateEffectiveDate	6/3/2023
CertificateExpirationDate	6/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024