19D2038523 CLIA NUMBER - WALGREENS #09485

Laboratory Demographics

  • CLIA Code: 19D2038523
  • Facility Name: WALGREENS #09485
  • Facility Address: 300 KEYSER AVENUE
    NATCHITOCHES, LA
    ZIP 71457
  • Facility Phone: 318 357-0451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILIP A. ASARE
  • NPI Number: 1053326231
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038523
LAB Type Pharmacy
Facility Name WALGREENS #09485
Street 300 KEYSER AVENUE
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 357-0451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director PHILIP A. ASARE

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