19D2038544 CLIA NUMBER - WALGREENS #06577

Home > CLIA Lookup > 19D2038544

Laboratory Demographics

CLIA Number: 19D2038544

Facility Name: WALGREENS #06577

Facility Address:
2755 COUNTRY CLUB ROAD
LAKE CHARLES, LA
ZIP 70605
Get Directions

Facility Phone Number: 337 477-7564

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1982610473

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2038544
LAB Type	Pharmacy
Facility Name	WALGREENS #06577
Street	2755 COUNTRY CLUB ROAD
City	LAKE CHARLES
State	LA
ZIP	70605
Phone	337 477-7564
CertificateType	4
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024