19D2294614 CLIA NUMBER - WALGREENS #05382

Laboratory Demographics

  • CLIA Code: 19D2294614
  • Facility Name: WALGREENS #05382
  • Facility Address: 4330 HIGHWAY 22
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 674-2551
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRITTANY MICHAEL
  • NPI Number: 1538175013
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2294614
LAB Type Pharmacy
Facility Name WALGREENS #05382
Street 4330 HIGHWAY 22
City MANDEVILLE
State LA
ZIP 70471
Phone 985 674-2551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director BRITTANY MICHAEL

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