19D2208897 CLIA NUMBER - BORDELON'S SUPER SAVE PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2208897
  • Facility Name: BORDELON'S SUPER SAVE PHARMACY
  • Facility Address: 6920 PLANK RD
    BATON ROUGE, LA
    ZIP 70811
  • Facility Phone: 225 356-0654
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL A. BORDELON
  • NPI Number: 1912094194
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2208897
LAB Type Pharmacy
Facility Name BORDELON'S SUPER SAVE PHARMACY
Street 6920 PLANK RD
City BATON ROUGE
State LA
ZIP 70811
Phone 225 356-0654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Pharmacy
Lab Director PAUL A. BORDELON

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