19D2154340 CLIA NUMBER - MILEY MEDS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 19D2154340
  • Facility Name: MILEY MEDS PHARMACY, LLC
  • Facility Address: 64288 HIGHWAY 41
    PEARL RIVER, LA
    ZIP 70452
  • Facility Phone: 985 256-7222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CLARENC C. MILEY JR
  • NPI Number: 1023591799
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2154340
LAB Type Pharmacy
Facility Name MILEY MEDS PHARMACY, LLC
Street 64288 HIGHWAY 41
City PEARL RIVER
State LA
ZIP 70452
Phone 985 256-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director CLARENC C. MILEY JR

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