19D2194812 CLIA NUMBER - CHURCH POINT COMMUNITY PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 19D2194812
  • Facility Name: CHURCH POINT COMMUNITY PHARMACY, LLC
  • Facility Address: 731 S MAIN STREET, SUITE B
    CHURCH POINT, LA
    ZIP 70525
  • Facility Phone: (337) 684-1911
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHAD T. BODIN
  • NPI Number: 1124685763
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2194812
LAB Type Pharmacy
Facility Name CHURCH POINT COMMUNITY PHARMACY, LLC
Street 731 S MAIN STREET, SUITE B
City CHURCH POINT
State LA
ZIP 70525
Phone 3376841911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Pharmacy
Lab Director CHAD T. BODIN

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This page was last updated on: 5/15/2026