19D2005922 CLIA NUMBER - MITCHELLS PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2005922
  • Facility Name: MITCHELLS PHARMACY
  • Facility Address: 202 E MAIN STREET
    JONESBORO, LA
    ZIP 71251
  • Facility Phone: 318 259-7466
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DWAYNE R. MITCHELL
  • NPI Number: 1164062667
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2005922
LAB Type Pharmacy
Facility Name MITCHELLS PHARMACY
Street 202 E MAIN STREET
City JONESBORO
State LA
ZIP 71251
Phone 318 259-7466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Pharmacy
Lab Director DWAYNE R. MITCHELL

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