19D0465018 CLIA NUMBER - LEESVILLE CARDIOVASCULAR CENTER, INC

Laboratory Demographics

  • CLIA Code: 19D0465018
  • Facility Name: LEESVILLE CARDIOVASCULAR CENTER, INC
  • Facility Address: 1101 A PORT ARTHUR TERRACE
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 392-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSIE MATHEW
  • NPI Number: 1194794867
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0465018
LAB Type Physician Office
Facility Name LEESVILLE CARDIOVASCULAR CENTER, INC
Street 1101 A PORT ARTHUR TERRACE
City LEESVILLE
State LA
ZIP 71446
Phone 337 392-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director JOSIE MATHEW

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