19D2037508 CLIA NUMBER - WALGREENS #13134

Laboratory Demographics

  • CLIA Code: 19D2037508
  • Facility Name: WALGREENS #13134
  • Facility Address: 6130 JOHNSTON STREET
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 984-1057
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARIAM A. SAADAT
  • NPI Number: 1538390703
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2037508
LAB Type Pharmacy
Facility Name WALGREENS #13134
Street 6130 JOHNSTON STREET
City LAFAYETTE
State LA
ZIP 70503
Phone 337 984-1057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Pharmacy
Lab Director MARIAM A. SAADAT

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