19D2038568 CLIA NUMBER - WALGREENS 05633

Laboratory Demographics

  • CLIA Code: 19D2038568
  • Facility Name: WALGREENS 05633
  • Facility Address: 2570 BARATARIA BOULEVARD
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 341-0005
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY TRAN
  • NPI Number: 1346256823
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038568
LAB Type Pharmacy
Facility Name WALGREENS 05633
Street 2570 BARATARIA BOULEVARD
City MARRERO
State LA
ZIP 70072
Phone 504 341-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Pharmacy
Lab Director JEREMY TRAN

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