19D2038548 CLIA NUMBER - WALGREENS #07696

Laboratory Demographics

  • CLIA Code: 19D2038548
  • Facility Name: WALGREENS #07696
  • Facility Address: 1401 REES STREET
    BREAUX BRIDGE, LA
    ZIP 70517
  • Facility Phone: 337 507-3813
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTNEY K. JOSEPH
  • NPI Number: 1932114105
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038548
LAB Type Pharmacy
Facility Name WALGREENS #07696
Street 1401 REES STREET
City BREAUX BRIDGE
State LA
ZIP 70517
Phone 337 507-3813
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 BRITTNEY K. JOSEPH

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