19D2292034 CLIA NUMBER - WALGREENS 17110

Laboratory Demographics

  • CLIA Code: 19D2292034
  • Facility Name: WALGREENS 17110
  • Facility Address: 800 METAIRIE RD, SUITE D
    METAIRIE, LA
    ZIP 70005
  • Facility Phone: 504 833-6764
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NGA R. NGUYEN
  • NPI Number: 1710403480
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2292034
LAB Type Pharmacy
Facility Name WALGREENS 17110
Street 800 METAIRIE RD, SUITE D
City METAIRIE
State LA
ZIP 70005
Phone 504 833-6764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Pharmacy
Lab Director NGA R. NGUYEN

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