19D0908266 CLIA NUMBER - BARNUM INTERNAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 19D0908266
  • Facility Name: BARNUM INTERNAL MEDICINE, LLC
  • Facility Address: 617 BIENVILLE STREET, SUITE A
    NATCHITOCHES, LA
    ZIP 71457
  • Facility Phone: 318 352-9880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OTIS R. BARNUM
  • NPI Number: 1316437643
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0908266
LAB Type Physician Office
Facility Name BARNUM INTERNAL MEDICINE, LLC
Street 617 BIENVILLE STREET, SUITE A
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 352-9880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director OTIS R. BARNUM

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