19D2202318 CLIA NUMBER - CANNON'S DISCOUNTS PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2202318
  • Facility Name: CANNON'S DISCOUNTS PHARMACY
  • Facility Address: 13351 E ALESSI RD
    INDEPENDENCE, LA
    ZIP 70443
  • Facility Phone: 985 878-5555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RONALD J. TRAHAN JR
  • NPI Number: 1659417202
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2202318
LAB Type Pharmacy
Facility Name CANNON'S DISCOUNTS PHARMACY
Street 13351 E ALESSI RD
City INDEPENDENCE
State LA
ZIP 70443
Phone 985 878-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Pharmacy
Lab Director RONALD J. TRAHAN JR

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