19D2038524 CLIA NUMBER - WALGREENS #09990

Laboratory Demographics

  • CLIA Code: 19D2038524
  • Facility Name: WALGREENS #09990
  • Facility Address: 71041 HIGHWAY 21
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 875-0715
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRENT SCHLOEGEL
  • NPI Number: 1912952797
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038524
LAB Type Pharmacy
Facility Name WALGREENS #09990
Street 71041 HIGHWAY 21
City COVINGTON
State LA
ZIP 70433
Phone 985 875-0715
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 TRENT SCHLOEGEL

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