19D2038565 CLIA NUMBER - WALGREENS #10975

Laboratory Demographics

  • CLIA Code: 19D2038565
  • Facility Name: WALGREENS #10975
  • Facility Address: 815 BRASHEAR AVENUE
    MORGAN CITY, LA
    ZIP 70380
  • Facility Phone: 985 384-3302
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EDCHARRA CAGE
  • NPI Number: 1063683712
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038565
LAB Type Pharmacy
Facility Name WALGREENS #10975
Street 815 BRASHEAR AVENUE
City MORGAN CITY
State LA
ZIP 70380
Phone 985 384-3302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Pharmacy
Lab Director EDCHARRA CAGE

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