19D2056979 CLIA NUMBER - WALGREENS #05230

Laboratory Demographics

  • CLIA Code: 19D2056979
  • Facility Name: WALGREENS #05230
  • Facility Address: 818 WESTBANK EXPY
    WESTWEGO, LA
    ZIP 70094
  • Facility Phone: 504 348-1026
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PHILPATRICK D. WALKER
  • NPI Number: 1861407033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2056979
LAB Type Pharmacy
Facility Name WALGREENS #05230
Street 818 WESTBANK EXPY
City WESTWEGO
State LA
ZIP 70094
Phone 504 348-1026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director PHILPATRICK D. WALKER

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