19D2183376 CLIA NUMBER - WALGREENS 21503

Laboratory Demographics

  • CLIA Code: 19D2183376
  • Facility Name: WALGREENS 21503
  • Facility Address: 3620 PINES ROAD
    SHREVEPORT, LA
    ZIP 71119
  • Facility Phone: 318 631-9804
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN A. RAGAN
  • NPI Number: 1194403659
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183376
LAB Type Pharmacy
Facility Name WALGREENS 21503
Street 3620 PINES ROAD
City SHREVEPORT
State LA
ZIP 71119
Phone 318 631-9804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director LAUREN A. RAGAN

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