19D2289671 CLIA NUMBER - WALGREENS 03558

Laboratory Demographics

  • CLIA Code: 19D2289671
  • Facility Name: WALGREENS 03558
  • Facility Address: 6201 ELYSIAN FIELDS AVE
    NEW ORLEANS, LA
    ZIP 70122
  • Facility Phone: 504 283-2891
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JANELL A. ST MARTIN
  • NPI Number: 1588679740
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2289671
LAB Type Pharmacy
Facility Name WALGREENS 03558
Street 6201 ELYSIAN FIELDS AVE
City NEW ORLEANS
State LA
ZIP 70122
Phone 504 283-2891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director JANELL A. ST MARTIN

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