19D2145917 CLIA NUMBER - WALGREENS 21562

Laboratory Demographics

  • CLIA Code: 19D2145917
  • Facility Name: WALGREENS 21562
  • Facility Address: 924 REES STREET
    BREAUX BRIDGE, LA
    ZIP 70517
  • Facility Phone: 337 332-6339
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY RACCA
  • NPI Number: 1891472403
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2145917
LAB Type Pharmacy
Facility Name WALGREENS 21562
Street 924 REES STREET
City BREAUX BRIDGE
State LA
ZIP 70517
Phone 337 332-6339
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 LINDSEY RACCA

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