19D2183752 CLIA NUMBER - ALL SAINTS PHARMACY

Laboratory Demographics

CLIA Number: 19D2183752

Facility Name: ALL SAINTS PHARMACY

Facility Address:
2124 38TH ST
KENNER, LA
ZIP 70065
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Facility Phone Number: 504 443-1294

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1558014530

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	19D2183752
LAB Type	Pharmacy
Facility Name	ALL SAINTS PHARMACY
Street	2124 38TH ST
City	KENNER
State	LA
ZIP	70065
Phone	504 443-1294
CertificateType	4
CertificateEffectiveDate	5/11/2022
CertificateExpirationDate	5/10/2024
FacilityType	Waiver

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