19D2015545 CLIA NUMBER - WALGREENS #03990

Laboratory Demographics

  • CLIA Code: 19D2015545
  • Facility Name: WALGREENS #03990
  • Facility Address: 1203 BUSINESS 190
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 893-7476
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DOUGLAS A. MEYER
  • NPI Number: 1750396917
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2015545
LAB Type Pharmacy
Facility Name WALGREENS #03990
Street 1203 BUSINESS 190
City COVINGTON
State LA
ZIP 70433
Phone 985 893-7476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Pharmacy
Lab Director DOUGLAS A. MEYER

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