19D2183268 CLIA NUMBER - WALGREENS #21475

Laboratory Demographics

  • CLIA Code: 19D2183268
  • Facility Name: WALGREENS #21475
  • Facility Address: 3000 NORTH MARKET STREET SUITE B
    SHREVEPORT, LA
    ZIP 71107
  • Facility Phone: 318 424-3251
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNY OAKLEY
  • NPI Number: 1902585532
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183268
LAB Type Pharmacy
Facility Name WALGREENS #21475
Street 3000 NORTH MARKET STREET SUITE B
City SHREVEPORT
State LA
ZIP 71107
Phone 318 424-3251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director JENNY OAKLEY

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