19D2226122 CLIA NUMBER - WALGREENS #11996

Laboratory Demographics

  • CLIA Code: 19D2226122
  • Facility Name: WALGREENS #11996
  • Facility Address: 70997 HIGHWAY 59
    ABITA SPRINGS, LA
    ZIP 70420
  • Facility Phone: 985 892-1550
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LESLIE M. MAGEE
  • NPI Number: 1972759033
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2226122
LAB Type Pharmacy
Facility Name WALGREENS #11996
Street 70997 HIGHWAY 59
City ABITA SPRINGS
State LA
ZIP 70420
Phone 985 892-1550
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 LESLIE M. MAGEE

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