19D2153387 CLIA NUMBER - SUMRALL'S PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 19D2153387
  • Facility Name: SUMRALL'S PHARMACY LLC
  • Facility Address: 30304 HWY 21
    ANGIE, LA
    ZIP 70426
  • Facility Phone: 985 986-4433
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LELAND B. SUMRALL
  • NPI Number: 1801050018
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2153387
LAB Type Pharmacy
Facility Name SUMRALL'S PHARMACY LLC
Street 30304 HWY 21
City ANGIE
State LA
ZIP 70426
Phone 985 986-4433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director LELAND B. SUMRALL

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