19D1033770 CLIA NUMBER - SAV-ON PHARMACY #0775 ALBERTSONS LLC

Laboratory Demographics

  • CLIA Code: 19D1033770
  • Facility Name: SAV-ON PHARMACY #0775 ALBERTSONS LLC
  • Facility Address: 2863 AMBASSADOR CAFFERY
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 406-8806
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NEIL MENARD
  • NPI Number: 1154360535
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D1033770
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0775 ALBERTSONS LLC
Street 2863 AMBASSADOR CAFFERY
City LAFAYETTE
State LA
ZIP 70506
Phone 337 406-8806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Pharmacy
Lab Director NEIL MENARD

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