19D2289549 CLIA NUMBER - WALGREENS 04450

Laboratory Demographics

  • CLIA Code: 19D2289549
  • Facility Name: WALGREENS 04450
  • Facility Address: 718 S CARROLLTON AVE
    NEW ORLEANS, LA
    ZIP 70118
  • Facility Phone: 504 861-7864
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIERNISHA BREYON DARENSBURG
  • NPI Number: 1316952583
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2289549
LAB Type Pharmacy
Facility Name WALGREENS 04450
Street 718 S CARROLLTON AVE
City NEW ORLEANS
State LA
ZIP 70118
Phone 504 861-7864
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 TIERNISHA BREYON DARENSBURG

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