19D0920561 CLIA NUMBER - LEONARD WEATHER JR, MD

Laboratory Demographics

  • CLIA Code: 19D0920561
  • Facility Name: LEONARD WEATHER JR, MD
  • Facility Address: 2120 BERT KOUNS SUITE C
    SHREVEPORT, LA
    ZIP 71118
  • Facility Phone: 318 671-5320
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEONARD WEATHER JR, MD
  • NPI Number: 1417015439
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D0920561
LAB Type Physician Office
Facility Name LEONARD WEATHER JR, MD
Street 2120 BERT KOUNS SUITE C
City SHREVEPORT
State LA
ZIP 71118
Phone 318 671-5320
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director LEONARD WEATHER JR, MD

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