19D2284035 CLIA NUMBER - CVS PHARMACY #05349 LOUISIANA CVS PHARMACY

Laboratory Demographics

  • CLIA Code: 19D2284035
  • Facility Name: CVS PHARMACY #05349 LOUISIANA CVS PHARMACY
  • Facility Address: 820 W ESPLANADE AVE
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 467-8313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TONYA BLACKMAN
  • NPI Number: 1538263470
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2284035
LAB Type Pharmacy
Facility Name CVS PHARMACY #05349 LOUISIANA CVS PHARMACY
Street 820 W ESPLANADE AVE
City KENNER
State LA
ZIP 70065
Phone 504 467-8313
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 TONYA BLACKMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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