19D2205459 CLIA NUMBER - WALGREENS #13875

Laboratory Demographics

  • CLIA Code: 19D2205459
  • Facility Name: WALGREENS #13875
  • Facility Address: 6485 GROOM RD
    BAKER, LA
    ZIP 70714
  • Facility Phone: 225 614-9471
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHARMAINE D. HUGGINS
  • NPI Number: 1063813749
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2205459
LAB Type Pharmacy
Facility Name WALGREENS #13875
Street 6485 GROOM RD
City BAKER
State LA
ZIP 70714
Phone 225 614-9471
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 CHARMAINE D. HUGGINS

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