19D2038563 CLIA NUMBER - WALGREENS #10577

Laboratory Demographics

  • CLIA Code: 19D2038563
  • Facility Name: WALGREENS #10577
  • Facility Address: 1804 ELTON ROAD
    JENNINGS, LA
    ZIP 70546
  • Facility Phone: 337 824-0945
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES MCGEE
  • NPI Number: 1285840546
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038563
LAB Type Pharmacy
Facility Name WALGREENS #10577
Street 1804 ELTON ROAD
City JENNINGS
State LA
ZIP 70546
Phone 337 824-0945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Pharmacy
Lab Director JAMES MCGEE

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