19D2229543 CLIA NUMBER - WALGREENS #21157

Laboratory Demographics

  • CLIA Code: 19D2229543
  • Facility Name: WALGREENS #21157
  • Facility Address: 24555 HIGHWAY 1
    PLAQUEMINE, LA
    ZIP 70764
  • Facility Phone: 225 692-4150
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DEREK C. JOSEPH JR
  • NPI Number: 1447715875
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2229543
LAB Type Pharmacy
Facility Name WALGREENS #21157
Street 24555 HIGHWAY 1
City PLAQUEMINE
State LA
ZIP 70764
Phone 225 692-4150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Pharmacy
Lab Director DEREK C. JOSEPH JR

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