19D2038567 CLIA NUMBER - WALGREENS #11997

Laboratory Demographics

  • CLIA Code: 19D2038567
  • Facility Name: WALGREENS #11997
  • Facility Address: 5416 CAMERON ST
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 266-5884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAY M. NGUYEN
  • NPI Number: 1336310085
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038567
LAB Type Pharmacy
Facility Name WALGREENS #11997
Street 5416 CAMERON ST
City LAFAYETTE
State LA
ZIP 70506
Phone 337 266-5884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Pharmacy
Lab Director DAY M. NGUYEN

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