19D2184872 CLIA NUMBER - EXPRESS RX OF SAINT JOSEPH

Laboratory Demographics

  • CLIA Code: 19D2184872
  • Facility Name: EXPRESS RX OF SAINT JOSEPH
  • Facility Address: 705 PLANK RD HIGHWAY 128
    SAINT JOSEPH, LA
    ZIP 71366
  • Facility Phone: 318 766-4563
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC CRUMBAUGH
  • NPI Number: 1518517994
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2184872
LAB Type Pharmacy
Facility Name EXPRESS RX OF SAINT JOSEPH
Street 705 PLANK RD HIGHWAY 128
City SAINT JOSEPH
State LA
ZIP 71366
Phone 318 766-4563
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Pharmacy
Lab Director ERIC CRUMBAUGH

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