19D2183855 CLIA NUMBER - RAYVILLE FAMILY PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 19D2183855
  • Facility Name: RAYVILLE FAMILY PHARMACY, LLC
  • Facility Address: 1821 LOUISA ST
    RAYVILLE, LA
    ZIP 71269
  • Facility Phone: 318 728-2430
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KAYLA D. BRIDGES
  • NPI Number: 1982908935
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2183855
LAB Type Pharmacy
Facility Name RAYVILLE FAMILY PHARMACY, LLC
Street 1821 LOUISA ST
City RAYVILLE
State LA
ZIP 71269
Phone 318 728-2430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director KAYLA D. BRIDGES

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