19D0464161 CLIA NUMBER - MONROE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D0464161
  • Facility Name: MONROE MEDICAL CLINIC
  • Facility Address: 100 SOUTH SECOND STREET
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 322-7836
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HELENA G. ALTICK MD
  • NPI Number: 1376657817
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D0464161
LAB Type Community Clinic
Facility Name MONROE MEDICAL CLINIC
Street 100 SOUTH SECOND STREET
City MONROE
State LA
ZIP 71201
Phone 318 322-7836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Community Clinic
Lab Director HELENA G. ALTICK MD

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