19D0861287 CLIA NUMBER - MINDEN PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 19D0861287
  • Facility Name: MINDEN PEDIATRICS INC
  • Facility Address: 1232 SHEPPARD ST
    MINDEN, LA
    ZIP 71055
  • Facility Phone: 318 377-7116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. ULICH
  • NPI Number: 1427111236
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0861287
LAB Type Physician Office
Facility Name MINDEN PEDIATRICS INC
Street 1232 SHEPPARD ST
City MINDEN
State LA
ZIP 71055
Phone 318 377-7116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director MICHAEL J. ULICH

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