19D0463389 CLIA NUMBER - COLON & RECTAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 19D0463389
  • Facility Name: COLON & RECTAL ASSOCIATES
  • Facility Address: 1801 FAIRFIELD AVE SUITE 401
    SHREVEPORT, LA
    ZIP 71101
  • Facility Phone: 318 424-8373
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP A. COLE, MD
  • NPI Number: 1699703330
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0463389
LAB Type Physician Office
Facility Name COLON & RECTAL ASSOCIATES
Street 1801 FAIRFIELD AVE SUITE 401
City SHREVEPORT
State LA
ZIP 71101
Phone 318 424-8373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PHILIP A. COLE, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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