19D2227968 CLIA NUMBER - WALGREENS #06448

Laboratory Demographics

  • CLIA Code: 19D2227968
  • Facility Name: WALGREENS #06448
  • Facility Address: 4485 PERKINS RD
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 926-0734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TSISINEVICH P. AKSANA
  • NPI Number: 1750396925
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2227968
LAB Type Pharmacy
Facility Name WALGREENS #06448
Street 4485 PERKINS RD
City BATON ROUGE
State LA
ZIP 70808
Phone 225 926-0734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Pharmacy
Lab Director TSISINEVICH P. AKSANA

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