19D2227764 CLIA NUMBER - WALGREENS #13658

Laboratory Demographics

  • CLIA Code: 19D2227764
  • Facility Name: WALGREENS #13658
  • Facility Address: 9705 JEFFERSON HWY
    RIVER RIDGE, LA
    ZIP 70123
  • Facility Phone: 504 737-2111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: REINE SANGA-PEMA
  • NPI Number: 1326564006
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2227764
LAB Type Pharmacy
Facility Name WALGREENS #13658
Street 9705 JEFFERSON HWY
City RIVER RIDGE
State LA
ZIP 70123
Phone 504 737-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Pharmacy
Lab Director REINE SANGA-PEMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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