19D2038551 CLIA NUMBER - WALGREENS #09862

Laboratory Demographics

  • CLIA Code: 19D2038551
  • Facility Name: WALGREENS #09862
  • Facility Address: 1204 THE BOULEVARD
    RAYNE, LA
    ZIP 70578
  • Facility Phone: 337 334-6611
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REGAN C. LACOMBE
  • NPI Number: 1598770778
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2038551
LAB Type Pharmacy
Facility Name WALGREENS #09862
Street 1204 THE BOULEVARD
City RAYNE
State LA
ZIP 70578
Phone 337 334-6611
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 REGAN C. LACOMBE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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