19D2208471 CLIA NUMBER - RAWLS PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 19D2208471
  • Facility Name: RAWLS PHARMACY, LLC
  • Facility Address: 36009 HIGHWAY 38
    MOUNT HERMON, LA
    ZIP 70450
  • Facility Phone: 985 877-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JEREMY R. RAWLS
  • NPI Number: 1104131549
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2208471
LAB Type Pharmacy
Facility Name RAWLS PHARMACY, LLC
Street 36009 HIGHWAY 38
City MOUNT HERMON
State LA
ZIP 70450
Phone 985 877-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director JEREMY R. RAWLS

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