19D0902976 CLIA NUMBER - COMMUNITY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D0902976
  • Facility Name: COMMUNITY MEDICAL CLINIC
  • Facility Address: 712 SETTOON STREET
    OAK GROVE, LA
    ZIP 71263
  • Facility Phone: 318 428-2341
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAKHRE FAKHRE
  • NPI Number: 1356324362
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0902976
LAB Type Physician Office
Facility Name COMMUNITY MEDICAL CLINIC
Street 712 SETTOON STREET
City OAK GROVE
State LA
ZIP 71263
Phone 318 428-2341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director FAKHRE FAKHRE

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