CLIA lab

CLIA 19D2052917: Walgreens #15109

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

CLIA number 19D2052917 belongs to Walgreens #15109 in Jefferson, LA.

Certificate of Waiver, effective April 29, 2025, expires April 28, 2027.

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
April 29, 2025
Certificate expiration
April 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2013
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
19D2052917
Lab name
Walgreens #15109
Address
4327 Jefferson Hwy, Jefferson, LA 70121
Phone
(504) 731-1431
Fax
(504) 731-7113

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 #15109 in Jefferson?

19D2052917, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Walgreens #15109 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2052917 expire?

The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.

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