19D2038574 CLIA NUMBER - WALGREENS #02469

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Laboratory Demographics

CLIA Number: 19D2038574

Facility Name: WALGREENS #02469

Facility Address:
220 WEST ESPLANADE AVENUE
KENNER, LA
ZIP 70065
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Facility Phone Number: 504 471-0739

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1508872003

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2038574
LAB Type	Pharmacy
Facility Name	WALGREENS #02469
Street	220 WEST ESPLANADE AVENUE
City	KENNER
State	LA
ZIP	70065
Phone	504 471-0739
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024