19D2226119 CLIA NUMBER - WALGREENS #13876

Laboratory Demographics

  • CLIA Code: 19D2226119
  • Facility Name: WALGREENS #13876
  • Facility Address: 2180 GAUSE BLVD W
    SLIDELL, LA
    ZIP 70460
  • Facility Phone: 985 646-1140
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRYSTALYNN BECHTEL
  • NPI Number: 1538445390
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2226119
LAB Type Pharmacy
Facility Name WALGREENS #13876
Street 2180 GAUSE BLVD W
City SLIDELL
State LA
ZIP 70460
Phone 985 646-1140
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 CHRYSTALYNN BECHTEL

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