19D0930340 CLIA NUMBER - DESOTO REGIONAL FAMILY MEDICINE LOGANSPORT

Laboratory Demographics

  • CLIA Code: 19D0930340
  • Facility Name: DESOTO REGIONAL FAMILY MEDICINE LOGANSPORT
  • Facility Address: 808 MAIN STREET
    LOGANSPORT, LA
    ZIP 71049
  • Facility Phone: 318 618-6013
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: JILL FERGUSON
  • NPI Number: 1457489593
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0930340
LAB Type Community Clinic
Facility Name DESOTO REGIONAL FAMILY MEDICINE LOGANSPORT
Street 808 MAIN STREET
City LOGANSPORT
State LA
ZIP 71049
Phone 318 618-6013
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Community Clinic
Lab Director JILL FERGUSON

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