19D2183308 CLIA NUMBER - WALGREENS 21544

Laboratory Demographics

  • CLIA Code: 19D2183308
  • Facility Name: WALGREENS 21544
  • Facility Address: 1500 N TRENTON
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 254-8256
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY N. CARRELL
  • NPI Number: 1316626955
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183308
LAB Type Pharmacy
Facility Name WALGREENS 21544
Street 1500 N TRENTON
City RUSTON
State LA
ZIP 71270
Phone 318 254-8256
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 ASHLEY N. CARRELL

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