19D0909704 CLIA NUMBER - VILLE PLATTE PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 19D0909704
  • Facility Name: VILLE PLATTE PEDIATRICS PA
  • Facility Address: 504 JACK MILLER ROAD, SUITE 3
    VILLE PLATTE, LA
    ZIP 70586
  • Facility Phone: 337 363-3560
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: COURTNEY D. MANUAL
  • NPI Number: 1306181698
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0909704
LAB Type Rural Health Clinic
Facility Name VILLE PLATTE PEDIATRICS PA
Street 504 JACK MILLER ROAD, SUITE 3
City VILLE PLATTE
State LA
ZIP 70586
Phone 337 363-3560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Rural Health Clinic
Lab Director COURTNEY D. MANUAL

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