19D2066177 CLIA NUMBER - WALGREENS #07795

Laboratory Demographics

  • CLIA Code: 19D2066177
  • Facility Name: WALGREENS #07795
  • Facility Address: 6515 SULLIVAN ROAD
    GREENWELL SPRINGS, LA
    ZIP 70739
  • Facility Phone: 225 261-5497
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VICKI G. STOKES
  • NPI Number: 1063427243
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2066177
LAB Type Pharmacy
Facility Name WALGREENS #07795
Street 6515 SULLIVAN ROAD
City GREENWELL SPRINGS
State LA
ZIP 70739
Phone 225 261-5497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Pharmacy
Lab Director VICKI G. STOKES

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