19D0912986 CLIA NUMBER - ENDOSCOPY CENTER OF WEST MONROE

Laboratory Demographics

  • CLIA Code: 19D0912986
  • Facility Name: ENDOSCOPY CENTER OF WEST MONROE
  • Facility Address: 102 THOMAS RD, PAVILION, STE 506
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: (318) 388-6983
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CLAYTON C. COON
  • NPI Number: 1417957796
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0912986
LAB Type Ambulatory Surgery Center
Facility Name ENDOSCOPY CENTER OF WEST MONROE
Street 102 THOMAS RD, PAVILION, STE 506
City WEST MONROE
State LA
ZIP 71291
Phone 3183886983
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Ambulatory Surgery Center
Lab Director CLAYTON C. COON

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This page was last updated on: 6/29/2026