19D2185369 CLIA NUMBER - WALGREENS #09860

Laboratory Demographics

  • CLIA Code: 19D2185369
  • Facility Name: WALGREENS #09860
  • Facility Address: 5955 AIRLINE HWY
    BATON ROUGE, LA
    ZIP 70805
  • Facility Phone: 847 527-4238
  • Facility Type: Other - COVID 19 TEST SITE
  • Facility Type: Waiver
  • Lab Director: MARC LEMELIE
  • NPI Number: 1053327551
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2185369
LAB Type Other - COVID 19 TEST SITE
Facility Name WALGREENS #09860
Street 5955 AIRLINE HWY
City BATON ROUGE
State LA
ZIP 70805
Phone 847 527-4238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Other - COVID 19 TEST SITE
Lab Director MARC LEMELIE

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