19D2037512 CLIA NUMBER - WALGREENS #5358

Laboratory Demographics

  • CLIA Code: 19D2037512
  • Facility Name: WALGREENS #5358
  • Facility Address: 11297 LAKE FOREST BOULEVARD
    NEW ORLEANS, LA
    ZIP 70128
  • Facility Phone: 504 248-2898
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA C. RANDOLPH
  • NPI Number: 1952316127
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2037512
LAB Type Pharmacy
Facility Name WALGREENS #5358
Street 11297 LAKE FOREST BOULEVARD
City NEW ORLEANS
State LA
ZIP 70128
Phone 504 248-2898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director JOSHUA C. RANDOLPH

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