19D2326696 CLIA NUMBER - FTW LAKE CHARLES LLC DBA THRIFTY WAY PHARMACY OF LAKE CHARLES

Laboratory Demographics

  • CLIA Code: 19D2326696
  • Facility Name: FTW LAKE CHARLES LLC DBA THRIFTY WAY PHARMACY OF LAKE CHARLES
  • Facility Address: 1505 W MCNEESE ST
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 477-7733
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: GLYNDA FUSELIER
  • NPI Number: 1346071461
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D2326696
LAB Type Pharmacy
Facility Name FTW LAKE CHARLES LLC DBA THRIFTY WAY PHARMACY OF LAKE CHARLES
Street 1505 W MCNEESE ST
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 477-7733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Pharmacy
Lab Director GLYNDA FUSELIER

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