19D0693159 CLIA NUMBER - RED RIVER ADULT DAY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 19D0693159
  • Facility Name: RED RIVER ADULT DAY HEALTH CARE
  • Facility Address: 1825 FRONT ST
    COUSHATTA, LA
    ZIP 71019
  • Facility Phone: 318 932-5721
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY S. WAILES
  • NPI Number: 1679785976
  • Taxonomy: 372600000X - Adult Companion

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0693159
LAB Type Other
Facility Name RED RIVER ADULT DAY HEALTH CARE
Street 1825 FRONT ST
City COUSHATTA
State LA
ZIP 71019
Phone 318 932-5721
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 Other
Lab Director MARY S. WAILES

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: 9/29/2025