19D2191113 CLIA NUMBER - CVS PHARMACY #10594 LOUISIANA CVS PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 19D2191113
  • Facility Name: CVS PHARMACY #10594 LOUISIANA CVS PHARMACY LLC
  • Facility Address: 500 N CARROLLTON AVE
    NEW ORLEANS, LA
    ZIP 70119
  • Facility Phone: 504 482-3100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MACY HARRIS
  • NPI Number: 1407211717
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2191113
LAB Type Pharmacy
Facility Name CVS PHARMACY #10594 LOUISIANA CVS PHARMACY LLC
Street 500 N CARROLLTON AVE
City NEW ORLEANS
State LA
ZIP 70119
Phone 504 482-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Pharmacy
Lab Director MACY HARRIS

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