19D2226092 CLIA NUMBER - WALGREENS #04285

Laboratory Demographics

  • CLIA Code: 19D2226092
  • Facility Name: WALGREENS #04285
  • Facility Address: 4142 PONTCHARTRAIN DR
    SLIDELL, LA
    ZIP 70458
  • Facility Phone: 985 649-3490
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GIANNA B. WILLIAMS
  • NPI Number: 1699781195
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2226092
LAB Type Pharmacy
Facility Name WALGREENS #04285
Street 4142 PONTCHARTRAIN DR
City SLIDELL
State LA
ZIP 70458
Phone 985 649-3490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director GIANNA B. WILLIAMS

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This page was last updated on: 6/4/2025