19D2289544 CLIA NUMBER - WALGREENS 04305

Laboratory Demographics

CLIA Number: 19D2289544

Facility Name: WALGREENS 04305

Facility Address:
900 CANAL ST
NEW ORLEANS, LA
ZIP 70112
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Facility Phone Number: 504 568-1271

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932114196

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2289544
LAB Type	Pharmacy
Facility Name	WALGREENS 04305
Street	900 CANAL ST
City	NEW ORLEANS
State	LA
ZIP	70112
Phone	504 568-1271
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024