19D0930336 CLIA NUMBER - MEDI-THRIFT DRUGS, INC

Laboratory Demographics

  • CLIA Code: 19D0930336
  • Facility Name: MEDI-THRIFT DRUGS, INC
  • Facility Address: 100 COURTHOUSE SQUARE
    HARRISONBURG, LA
    ZIP 71340
  • Facility Phone: 318 744-5617
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN J. COSTANZA
  • NPI Number: 1376576058
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D0930336
LAB Type Pharmacy
Facility Name MEDI-THRIFT DRUGS, INC
Street 100 COURTHOUSE SQUARE
City HARRISONBURG
State LA
ZIP 71340
Phone 318 744-5617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Pharmacy
Lab Director JOHN J. COSTANZA

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