19D2140655 CLIA NUMBER - PAUL'S PHARMACY INC

Laboratory Demographics

  • CLIA Code: 19D2140655
  • Facility Name: PAUL'S PHARMACY INC
  • Facility Address: 345 WEST RAILROAD AVENUE
    INDEPENDENCE, LA
    ZIP 70443
  • Facility Phone: 985 878-4401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL W. DURNIN SR
  • NPI Number: 1972873222
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2140655
LAB Type Pharmacy
Facility Name PAUL'S PHARMACY INC
Street 345 WEST RAILROAD AVENUE
City INDEPENDENCE
State LA
ZIP 70443
Phone 985 878-4401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Pharmacy
Lab Director PAUL W. DURNIN SR

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