19D2038570 CLIA NUMBER - WALGREENS #07595

Laboratory Demographics

  • CLIA Code: 19D2038570
  • Facility Name: WALGREENS #07595
  • Facility Address: 6101 WEST 70TH STREET
    SHREVEPORT, LA
    ZIP 71129
  • Facility Phone: 318 688-1448
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELAN BARTON
  • NPI Number: 1023023298
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2038570
LAB Type Pharmacy
Facility Name WALGREENS #07595
Street 6101 WEST 70TH STREET
City SHREVEPORT
State LA
ZIP 71129
Phone 318 688-1448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Pharmacy
Lab Director KELAN BARTON

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