19D2044112 CLIA NUMBER - WALGREENS #01657

Laboratory Demographics

  • CLIA Code: 19D2044112
  • Facility Name: WALGREENS #01657
  • Facility Address: 3333 MASONIC DRIVE
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 445-6386
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REBECCA L. LONG
  • NPI Number: 1508871781
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2044112
LAB Type Pharmacy
Facility Name WALGREENS #01657
Street 3333 MASONIC DRIVE
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 445-6386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Pharmacy
Lab Director REBECCA L. LONG

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