Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
19D0724316
|
|
Clinical laboratory number
|
|
Lab Name
|
EVERGREEN DEVELOPMENTAL CENTER
|
|
Laboratory Name
|
|
Lab Type
|
Intermediate Care Facility/Individuals with Intellectual Disabilities
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
318-377-5405
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
RT 1 WEBSTER HWY 262
|
|
Primary location adress line
|
|
City
|
MINDEN
|
|
Primary location city name
|
|
State
|
LA
|
|
Primary location state name
|
|
Zip
|
71055
|
|
Primary location postal code
|