19D2145924 CLIA NUMBER - WALGREENS #21557

Laboratory Demographics

  • CLIA Code: 19D2145924
  • Facility Name: WALGREENS #21557
  • Facility Address: 2210 VETERANS MEMORIAL DR SUITE A
    ABBEVILLE, LA
    ZIP 70510
  • Facility Phone: 337 898-1929
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BENJAMIN GUILLORY
  • NPI Number: 1063199818
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2145924
LAB Type Pharmacy
Facility Name WALGREENS #21557
Street 2210 VETERANS MEMORIAL DR SUITE A
City ABBEVILLE
State LA
ZIP 70510
Phone 337 898-1929
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 BENJAMIN GUILLORY

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