19D0464519 CLIA NUMBER - CLYDE E ELLIOTT MD

Laboratory Demographics

  • CLIA Code: 19D0464519
  • Facility Name: CLYDE E ELLIOTT MD
  • Facility Address: 200 PROFESSIONAL DRIVE
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 388-4863
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLYDE E. ELLIOTT
  • NPI Number: 1326058918
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0464519
LAB Type Physician Office
Facility Name CLYDE E ELLIOTT MD
Street 200 PROFESSIONAL DRIVE
City WEST MONROE
State LA
ZIP 71291
Phone 318 388-4863
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 CLYDE E. ELLIOTT

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