19D2037519 CLIA NUMBER - WALGREENS #05181

Laboratory Demographics

  • CLIA Code: 19D2037519
  • Facility Name: WALGREENS #05181
  • Facility Address: 3555 GREENWOOD ROAD
    SHREVEPORT, LA
    ZIP 71109
  • Facility Phone: 318 525-0144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP A. ASARE
  • NPI Number: 1134134307
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2037519
LAB Type Pharmacy
Facility Name WALGREENS #05181
Street 3555 GREENWOOD ROAD
City SHREVEPORT
State LA
ZIP 71109
Phone 318 525-0144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director PHILIP A. ASARE

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