19D2038541 CLIA NUMBER - WALGREENS #05629

Laboratory Demographics

  • CLIA Code: 19D2038541
  • Facility Name: WALGREENS #05629
  • Facility Address: 2822 AMBASSADOR CAFFREY PARKWAY
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 216-9399
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CARMEN I. SALCEANU
  • NPI Number: 1942215116
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038541
LAB Type Pharmacy
Facility Name WALGREENS #05629
Street 2822 AMBASSADOR CAFFREY PARKWAY
City LAFAYETTE
State LA
ZIP 70506
Phone 337 216-9399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director CARMEN I. SALCEANU

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