19D2205454 CLIA NUMBER - WALGREENS #07261

Laboratory Demographics

  • CLIA Code: 19D2205454
  • Facility Name: WALGREENS #07261
  • Facility Address: 457 LAPALCO BLVD
    GRETNA, LA
    ZIP 70056
  • Facility Phone: 504 393-4941
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHELLY KIRKMAN
  • NPI Number: 1235145731
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2205454
LAB Type Pharmacy
Facility Name WALGREENS #07261
Street 457 LAPALCO BLVD
City GRETNA
State LA
ZIP 70056
Phone 504 393-4941
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Pharmacy
Lab Director SHELLY KIRKMAN

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