19D2015542 CLIA NUMBER - WALGREENS #05040

Laboratory Demographics

  • CLIA Code: 19D2015542
  • Facility Name: WALGREENS #05040
  • Facility Address: 1801 ST CHARLES AVE
    NEW ORLEANS, LA
    ZIP 70130
  • Facility Phone: 504 561-8458
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIA SMITH
  • NPI Number: 1407861669
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Pharmacy
Lab Director MARIA SMITH

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