19D2226104 CLIA NUMBER - WALGREENS #04451

Laboratory Demographics

  • CLIA Code: 19D2226104
  • Facility Name: WALGREENS #04451
  • Facility Address: 4400 S CLAIBORNE AVE
    NEW ORLEANS, LA
    ZIP 70125
  • Facility Phone: 504 891-0976
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RENEE LEONE BUSTILLO
  • NPI Number: 1205841459
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2226104
LAB Type Pharmacy
Facility Name WALGREENS #04451
Street 4400 S CLAIBORNE AVE
City NEW ORLEANS
State LA
ZIP 70125
Phone 504 891-0976
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 RENEE LEONE BUSTILLO

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