19D2040429 CLIA NUMBER - WALGREENS #09526

Laboratory Demographics

  • CLIA Code: 19D2040429
  • Facility Name: WALGREENS #09526
  • Facility Address: 3100 HIGHWAY 28 E
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 561-2381
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: EMMANUEL ODURO
  • NPI Number: 1144236647
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2040429
LAB Type Pharmacy
Facility Name WALGREENS #09526
Street 3100 HIGHWAY 28 E
City PINEVILLE
State LA
ZIP 71360
Phone 318 561-2381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Pharmacy
Lab Director EMMANUEL ODURO

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This page was last updated on: 6/4/2025