19D2289547 CLIA NUMBER - WALGREENS 03610

Laboratory Demographics

  • CLIA Code: 19D2289547
  • Facility Name: WALGREENS 03610
  • Facility Address: 12881 PERKINS RD
    BATON ROUGE, LA
    ZIP 70810
  • Facility Phone: 225 763-6281
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BINITA M. DESAI
  • NPI Number: 1114932373
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2289547
LAB Type Pharmacy
Facility Name WALGREENS 03610
Street 12881 PERKINS RD
City BATON ROUGE
State LA
ZIP 70810
Phone 225 763-6281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Pharmacy
Lab Director BINITA M. DESAI

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