Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
19D2274195
|
|
Clinical laboratory number
|
|
Lab Name
|
NORTH LOUISIANA WHOLE HEALTH TREATMENT CENTER
|
|
Laboratory Name
|
|
Lab Type
|
Other - OP BEHAVIORAL HEALTH
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
318-408-9929
|
|
Laboratory telephone number
|
|
Fax
|
318-408-9937
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1513 LINE AVE
|
|
Primary location adress line
|
|
City
|
SHREVEPORT
|
|
Primary location city name
|
|
State
|
LA
|
|
Primary location state name
|
|
Zip
|
71101
|
|
Primary location postal code
|