19D2183293 CLIA NUMBER - WALGREENS 21532

Laboratory Demographics

  • CLIA Code: 19D2183293
  • Facility Name: WALGREENS 21532
  • Facility Address: 2907 CYPRESS ST
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 325-3142
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARK W. GOUDEAU
  • NPI Number: 1013694850
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183293
LAB Type Pharmacy
Facility Name WALGREENS 21532
Street 2907 CYPRESS ST
City WEST MONROE
State LA
ZIP 71291
Phone 318 325-3142
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 MARK W. GOUDEAU

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