19D2182752 CLIA NUMBER - COLISTICS INC

Laboratory Demographics

CLIA Number: 19D2182752

Facility Name: COLISTICS INC

Facility Address:
3361 GENERAL DEGAULLE DR STE A
NEW ORLEANS, LA
ZIP 70114
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Facility Phone Number: 504 361-5650

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1023474889

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2182752
LAB Type	Pharmacy
Facility Name	COLISTICS INC
Street	3361 GENERAL DEGAULLE DR STE A
City	NEW ORLEANS
State	LA
ZIP	70114
Phone	504 361-5650
CertificateType	4
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024