19D2196890 CLIA NUMBER - RUSTON APOTHECARE

Laboratory Demographics

  • CLIA Code: 19D2196890
  • Facility Name: RUSTON APOTHECARE
  • Facility Address: 1680 EAST KENTUCKY AVENUE
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 255-3223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER FURR
  • NPI Number: 1891148995
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2196890
LAB Type Pharmacy
Facility Name RUSTON APOTHECARE
Street 1680 EAST KENTUCKY AVENUE
City RUSTON
State LA
ZIP 71270
Phone 318 255-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Pharmacy
Lab Director HEATHER FURR

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