19D2215057 CLIA NUMBER - LOUISIANA ACADEMIC HEALTH NETWORK

Laboratory Demographics

CLIA Number: 19D2215057

Facility Name: LOUISIANA ACADEMIC HEALTH NETWORK

Facility Address:
6501 BERKLEY DRIVE
NEW ORLEANS, LA
ZIP 70131
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Facility Phone Number: 504 565-7882

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1083718928

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	19D2215057
LAB Type	School/Student Health Service
Facility Name	LOUISIANA ACADEMIC HEALTH NETWORK
Street	6501 BERKLEY DRIVE
City	NEW ORLEANS
State	LA
ZIP	70131
Phone	504 565-7882
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024