19D2232578 CLIA NUMBER - MICHOUD PHARMACY VOTRAN RX LLC

Laboratory Demographics

  • CLIA Code: 19D2232578
  • Facility Name: MICHOUD PHARMACY VOTRAN RX LLC
  • Facility Address: 4646 MICHOUD BLVD, STE D5
    NEW ORLEANS, LA
    ZIP 70129
  • Facility Phone: 504 435-1422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL G. VO
  • NPI Number: 1518477355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2232578
LAB Type Pharmacy
Facility Name MICHOUD PHARMACY VOTRAN RX LLC
Street 4646 MICHOUD BLVD, STE D5
City NEW ORLEANS
State LA
ZIP 70129
Phone 504 435-1422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Pharmacy
Lab Director PAUL G. VO

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