19D2038561 CLIA NUMBER - WALGREENS 10538

Laboratory Demographics

  • CLIA Code: 19D2038561
  • Facility Name: WALGREENS 10538
  • Facility Address: 2008 SOUTH 5TH STREET
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 239-2285
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONDAL C. MCCLANAHAN
  • NPI Number: 1205957289
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038561
LAB Type Pharmacy
Facility Name WALGREENS 10538
Street 2008 SOUTH 5TH STREET
City LEESVILLE
State LA
ZIP 71446
Phone 337 239-2285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director RONDAL C. MCCLANAHAN

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