19D2289555 CLIA NUMBER - WALGREENS 06506

Laboratory Demographics

  • CLIA Code: 19D2289555
  • Facility Name: WALGREENS 06506
  • Facility Address: 89 WESTBANK EXPY
    GRETNA, LA
    ZIP 70053
  • Facility Phone: 504 376-2349
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TYLASHA R. GUSMAN
  • NPI Number: 1124033394
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2289555
LAB Type Pharmacy
Facility Name WALGREENS 06506
Street 89 WESTBANK EXPY
City GRETNA
State LA
ZIP 70053
Phone 504 376-2349
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 TYLASHA R. GUSMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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