19D2220298 CLIA NUMBER - WALGREENS #13586

Laboratory Demographics

  • CLIA Code: 19D2220298
  • Facility Name: WALGREENS #13586
  • Facility Address: 4141 E JUDGE PEREZ DR
    MERAUX, LA
    ZIP 70075
  • Facility Phone: 504 682-6738
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY JAMES MUSACCHIA
  • NPI Number: 1669605788
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2220298
LAB Type Pharmacy
Facility Name WALGREENS #13586
Street 4141 E JUDGE PEREZ DR
City MERAUX
State LA
ZIP 70075
Phone 504 682-6738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Pharmacy
Lab Director ANTHONY JAMES MUSACCHIA

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