19D2177072 CLIA NUMBER - BON AMI PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2177072
  • Facility Name: BON AMI PHARMACY
  • Facility Address: 2825 GRAND POINT HWY #9
    BREAUX BRIDGE, LA
    ZIP 70517
  • Facility Phone: 337 454-6536
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MYLES R. STELLY
  • NPI Number: 1396270955
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2177072
LAB Type Pharmacy
Facility Name BON AMI PHARMACY
Street 2825 GRAND POINT HWY #9
City BREAUX BRIDGE
State LA
ZIP 70517
Phone 337 454-6536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Pharmacy
Lab Director MYLES R. STELLY

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