19D2152871 CLIA NUMBER - DIXIE PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2152871
  • Facility Name: DIXIE PHARMACY
  • Facility Address: 615 8TH ST
    COLFAX, LA
    ZIP 71417
  • Facility Phone: 318 627-5428
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL B. REITZELL
  • NPI Number: 1013912047
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2152871
LAB Type Pharmacy
Facility Name DIXIE PHARMACY
Street 615 8TH ST
City COLFAX
State LA
ZIP 71417
Phone 318 627-5428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Pharmacy
Lab Director DANIEL B. REITZELL

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