19D2284030 CLIA NUMBER - CVS PHARMACY #08958 LOUISIANA CVS PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2284030
  • Facility Name: CVS PHARMACY #08958 LOUISIANA CVS PHARMACY
  • Facility Address: 5044 AMBASSADOR CAFFREY PKWY
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 983-2262
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY HIBBARD
  • NPI Number: 1518289396
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2284030
LAB Type Pharmacy
Facility Name CVS PHARMACY #08958 LOUISIANA CVS PHARMACY
Street 5044 AMBASSADOR CAFFREY PKWY
City LAFAYETTE
State LA
ZIP 70508
Phone 337 983-2262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Pharmacy
Lab Director KELLY HIBBARD

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