19D2232618 CLIA NUMBER - WALGREENS #02996

Laboratory Demographics

  • CLIA Code: 19D2232618
  • Facility Name: WALGREENS #02996
  • Facility Address: 11297 FLORIDA BLVD
    BATON ROUGE, LA
    ZIP 70815
  • Facility Phone: 225 272-9769
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELAN L. BARTON
  • NPI Number: 1215942479
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2232618
LAB Type Pharmacy
Facility Name WALGREENS #02996
Street 11297 FLORIDA BLVD
City BATON ROUGE
State LA
ZIP 70815
Phone 225 272-9769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director KELAN L. BARTON

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