19D2258342 CLIA NUMBER - CVS PHARMACY #01661 LOUISIANA CVS PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2258342
  • Facility Name: CVS PHARMACY #01661 LOUISIANA CVS PHARMACY
  • Facility Address: 17122 AIRLINE HWY
    PRAIRIEVILLE, LA
    ZIP 70769
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LYNEZ PREYAN
  • NPI Number: 1528341922
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 19D2258342
LAB Type Pharmacy
Facility Name CVS PHARMACY #01661 LOUISIANA CVS PHARMACY
Street 17122 AIRLINE HWY
City PRAIRIEVILLE
State LA
ZIP 70769
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director LYNEZ PREYAN

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