19D0465151 CLIA NUMBER - MARK V SHELTON MD

Laboratory Demographics

  • CLIA Code: 19D0465151
  • Facility Name: MARK V SHELTON MD
  • Facility Address: 106 W BOUNDARY AVE
    WINNFIELD, LA
    ZIP 71483
  • Facility Phone: 318 628-4123
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK V. SHELTON
  • NPI Number: 1548251036
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0465151
LAB Type Physician Office
Facility Name MARK V SHELTON MD
Street 106 W BOUNDARY AVE
City WINNFIELD
State LA
ZIP 71483
Phone 318 628-4123
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director MARK V. SHELTON

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