19D2066182 CLIA NUMBER - WALGREENS #07836

Laboratory Demographics

  • CLIA Code: 19D2066182
  • Facility Name: WALGREENS #07836
  • Facility Address: 3671 JOOR ROAD
    BATON ROUGE, LA
    ZIP 70814
  • Facility Phone: 225 924-3880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KENDRA D. PORTER
  • NPI Number: 1972518157
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2066182
LAB Type Pharmacy
Facility Name WALGREENS #07836
Street 3671 JOOR ROAD
City BATON ROUGE
State LA
ZIP 70814
Phone 225 924-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Pharmacy
Lab Director KENDRA D. PORTER

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This page was last updated on: 3/20/2025