19D2038513 CLIA NUMBER - WALGREENS #09492

Laboratory Demographics

  • CLIA Code: 19D2038513
  • Facility Name: WALGREENS #09492
  • Facility Address: 3100 NORTH MARKET STREET
    SHREVEPORT, LA
    ZIP 71107
  • Facility Phone: 318 681-1083
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID W. LOFTIN
  • NPI Number: 1235144411
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038513
LAB Type Pharmacy
Facility Name WALGREENS #09492
Street 3100 NORTH MARKET STREET
City SHREVEPORT
State LA
ZIP 71107
Phone 318 681-1083
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 DAVID W. LOFTIN

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