19D2037513 CLIA NUMBER - WALGREENS #6190

Laboratory Demographics

  • CLIA Code: 19D2037513
  • Facility Name: WALGREENS #6190
  • Facility Address: 1801 SW RAILROAD AVENUE
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 985 902-9249
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE MURILLO
  • NPI Number: 1265448658
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2037513
LAB Type Pharmacy
Facility Name WALGREENS #6190
Street 1801 SW RAILROAD AVENUE
City HAMMOND
State LA
ZIP 70403
Phone 985 902-9249
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 JAMIE MURILLO

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