19D0907045 CLIA NUMBER - ST MARYS RESIDENTIAL TRAINING SCHOOL

Laboratory Demographics

  • CLIA Code: 19D0907045
  • Facility Name: ST MARYS RESIDENTIAL TRAINING SCHOOL
  • Facility Address: HWY 1 NORTH 6715
    ALEXANDRIA, LA
    ZIP 71306
  • Facility Phone: 318 445-6443
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: BONITA WALKER, RN, BSN
  • NPI Number: 1659565463
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 19D0907045
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name ST MARYS RESIDENTIAL TRAINING SCHOOL
Street HWY 1 NORTH 6715
City ALEXANDRIA
State LA
ZIP 71306
Phone 318 445-6443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director BONITA WALKER, RN, BSN

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