19D2038528 CLIA NUMBER - WALGREENS #02997

Laboratory Demographics

  • CLIA Code: 19D2038528
  • Facility Name: WALGREENS #02997
  • Facility Address: 4460 LAKE STREET
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 478-6042
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KIANA T. DUNCAN
  • NPI Number: 1851306013
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038528
LAB Type Pharmacy
Facility Name WALGREENS #02997
Street 4460 LAKE STREET
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 478-6042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director KIANA T. DUNCAN

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