19D2015546 CLIA NUMBER - WALGREENS #04007

Laboratory Demographics

  • CLIA Code: 19D2015546
  • Facility Name: WALGREENS #04007
  • Facility Address: 1260 FRONT ST
    SLIDELL, LA
    ZIP 70458
  • Facility Phone: 985 641-5557
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL C. WIBLE
  • NPI Number: 1871508036
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2015546
LAB Type Pharmacy
Facility Name WALGREENS #04007
Street 1260 FRONT ST
City SLIDELL
State LA
ZIP 70458
Phone 985 641-5557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Pharmacy
Lab Director MICHAEL C. WIBLE

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