19D2222496 CLIA NUMBER - WALGREENS #15067

Laboratory Demographics

  • CLIA Code: 19D2222496
  • Facility Name: WALGREENS #15067
  • Facility Address: 4607 VETERANS MEMORIAL BLVD
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 457-4075
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LINDSEY J. WAGUESPACK
  • NPI Number: 1013201516
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2222496
LAB Type Pharmacy
Facility Name WALGREENS #15067
Street 4607 VETERANS MEMORIAL BLVD
City METAIRIE
State LA
ZIP 70006
Phone 504 457-4075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Pharmacy
Lab Director LINDSEY J. WAGUESPACK

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