19D2226450 CLIA NUMBER - WALGREENS #11196

Laboratory Demographics

  • CLIA Code: 19D2226450
  • Facility Name: WALGREENS #11196
  • Facility Address: 12506 HIGHWAY 73
    GEISMAR, LA
    ZIP 70734
  • Facility Phone: 225 677-7607
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HENIKKA L. HULL
  • NPI Number: 1790979110
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2226450
LAB Type Pharmacy
Facility Name WALGREENS #11196
Street 12506 HIGHWAY 73
City GEISMAR
State LA
ZIP 70734
Phone 225 677-7607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Pharmacy
Lab Director HENIKKA L. HULL

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