CLIA lab

CLIA 19D2037515: Walgreens #09690

Ponchatoula, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D2037515 belongs to Walgreens #09690 in Ponchatoula, LA.

Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 15, 2024
Certificate expiration
December 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 29, 2012
Facility type
Pharmacy
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
19D2037515
Lab name
Walgreens #09690
Address
1100 W Pine Street, Ponchatoula, LA 70454
Phone
(985) 386-2421
Fax
(985) 386-5988

Annual test volume the lab reported

Waived tests
12,775

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Walgreens #09690 in Ponchatoula?

19D2037515, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #09690 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2037515 expire?

The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.

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