19D2037510 CLIA NUMBER - WALGREENS #13761

Laboratory Demographics

  • CLIA Code: 19D2037510
  • Facility Name: WALGREENS #13761
  • Facility Address: 2820 E MILTON AVENUE
    YOUNGSVILLE, LA
    ZIP 70592
  • Facility Phone: 337 856-9910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEVLYNN CHLEBOWY
  • NPI Number: 1194032904
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2037510
LAB Type Pharmacy
Facility Name WALGREENS #13761
Street 2820 E MILTON AVENUE
City YOUNGSVILLE
State LA
ZIP 70592
Phone 337 856-9910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Pharmacy
Lab Director DEVLYNN CHLEBOWY

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This page was last updated on: 3/20/2025