19D2145895 CLIA NUMBER - WALGREENS 21558

Laboratory Demographics

  • CLIA Code: 19D2145895
  • Facility Name: WALGREENS 21558
  • Facility Address: 2004 N PARKERSON AVENUE
    CROWLEY, LA
    ZIP 70526
  • Facility Phone: 337 785-2421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NANCY DEE SOURIYA
  • NPI Number: 1750069233
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2145895
LAB Type Pharmacy
Facility Name WALGREENS 21558
Street 2004 N PARKERSON AVENUE
City CROWLEY
State LA
ZIP 70526
Phone 337 785-2421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Pharmacy
Lab Director NANCY DEE SOURIYA

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