19D2038574 CLIA NUMBER - WALGREENS #02469

Laboratory Demographics

  • CLIA Code: 19D2038574
  • Facility Name: WALGREENS #02469
  • Facility Address: 220 WEST ESPLANADE AVENUE
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 471-0739
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHINA DAVIS
  • NPI Number: 1508872003
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director CHINA DAVIS

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