19D2017110 CLIA NUMBER - KENNER DISCOUNT PHARMACY ESTHER WANDA INC

Laboratory Demographics

  • CLIA Code: 19D2017110
  • Facility Name: KENNER DISCOUNT PHARMACY ESTHER WANDA INC
  • Facility Address: 3108 LOYOLA DRIVE
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 464-4421
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ESTHER C. WANDA
  • NPI Number: 1578642401
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2017110
LAB Type Pharmacy
Facility Name KENNER DISCOUNT PHARMACY ESTHER WANDA INC
Street 3108 LOYOLA DRIVE
City KENNER
State LA
ZIP 70065
Phone 504 464-4421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Pharmacy
Lab Director ESTHER C. WANDA

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