19D0464869 CLIA NUMBER - CHAUDHRY CLINIC CHAUDHRY CLINIC LLC

Laboratory Demographics

  • CLIA Code: 19D0464869
  • Facility Name: CHAUDHRY CLINIC CHAUDHRY CLINIC LLC
  • Facility Address: 11809 HWY 84 WEST
    JENA, LA
    ZIP 71342
  • Facility Phone: 318 992-4133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RIAZ CHAUDHRY MD
  • NPI Number: 1891392304
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0464869
LAB Type Physician Office
Facility Name CHAUDHRY CLINIC CHAUDHRY CLINIC LLC
Street 11809 HWY 84 WEST
City JENA
State LA
ZIP 71342
Phone 318 992-4133
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 RIAZ CHAUDHRY MD

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