19D0463171 CLIA NUMBER - BIENVILLE FAMILY CLINIC ARCADIA

Laboratory Demographics

  • CLIA Code: 19D0463171
  • Facility Name: BIENVILLE FAMILY CLINIC ARCADIA
  • Facility Address: 1175 PINE STREET SUITE 100
    ARCADIA, LA
    ZIP 71001
  • Facility Phone: 318 263-7970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY B. GARDNER MD
  • NPI Number: 1316038441
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0463171
LAB Type Physician Office
Facility Name BIENVILLE FAMILY CLINIC ARCADIA
Street 1175 PINE STREET SUITE 100
City ARCADIA
State LA
ZIP 71001
Phone 318 263-7970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director TERRY B. GARDNER MD

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