19D0672171 CLIA NUMBER - PRINCETON PLACE RUSTON

Laboratory Demographics

  • CLIA Code: 19D0672171
  • Facility Name: PRINCETON PLACE RUSTON
  • Facility Address: 1405 WHITE STREET
    RUSTON, LA
    ZIP 71270
  • Facility Phone: (318) 255-4400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENISE B. FUTCH
  • NPI Number: 1124049044
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0672171
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRINCETON PLACE RUSTON
Street 1405 WHITE STREET
City RUSTON
State LA
ZIP 71270
Phone 3182554400
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 Skilled Nursing Facility/Nursing Facility
Lab Director DENISE B. FUTCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026