19D2283951 CLIA NUMBER - CVS PHARMACY #10318 LOUISIANA CVS PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 19D2283951
  • Facility Name: CVS PHARMACY #10318 LOUISIANA CVS PHARMACY LLC
  • Facility Address: 9326 BURBANK DR
    BATON ROUGE, LA
    ZIP 70820
  • Facility Phone: 225 767-0966
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KA HO
  • NPI Number: 1740606763
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2283951
LAB Type Pharmacy
Facility Name CVS PHARMACY #10318 LOUISIANA CVS PHARMACY LLC
Street 9326 BURBANK DR
City BATON ROUGE
State LA
ZIP 70820
Phone 225 767-0966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director KA HO

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