19D2183280 CLIA NUMBER - WALGREENS #21523

Laboratory Demographics

  • CLIA Code: 19D2183280
  • Facility Name: WALGREENS #21523
  • Facility Address: 4918 BARKSDALE BLVD SUITE B
    BOSSIER CITY, LA
    ZIP 71112
  • Facility Phone: 318 549-2107
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JUSTIN LEBLANC
  • NPI Number: 1932272267
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183280
LAB Type Pharmacy
Facility Name WALGREENS #21523
Street 4918 BARKSDALE BLVD SUITE B
City BOSSIER CITY
State LA
ZIP 71112
Phone 318 549-2107
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 JUSTIN LEBLANC

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