19D0463303 CLIA NUMBER - NORTH CADDO MEDICAL CENTER CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 19D0463303
  • Facility Name: NORTH CADDO MEDICAL CENTER CLINICAL LABORATORY
  • Facility Address: 715 S PINE
    VIVIAN, LA
    ZIP 71082
  • Facility Phone: 318 375-4034
  • Facility Type: Other - HOSPITAL SERVICE DISTRICT
  • Facility Type: Certificate of Compliance
  • Lab Director: JILL A. FERGUSON
  • NPI Number: 1285710236
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 19D0463303
LAB Type Other - HOSPITAL SERVICE DISTRICT
Facility Name NORTH CADDO MEDICAL CENTER CLINICAL LABORATORY
Street 715 S PINE
City VIVIAN
State LA
ZIP 71082
Phone 318 375-4034
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other - HOSPITAL SERVICE DISTRICT
Lab Director JILL A. FERGUSON

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