19D2230525 CLIA NUMBER - WALGREENS #17171

Laboratory Demographics

  • CLIA Code: 19D2230525
  • Facility Name: WALGREENS #17171
  • Facility Address: 7900 DESIARD ST
    MONROE, LA
    ZIP 71203
  • Facility Phone: 318 343-0942
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. HUNT
  • NPI Number: 1508381658
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2230525
LAB Type Pharmacy
Facility Name WALGREENS #17171
Street 7900 DESIARD ST
City MONROE
State LA
ZIP 71203
Phone 318 343-0942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Pharmacy
Lab Director WILLIAM C. HUNT

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