19D0948191 CLIA NUMBER - DIRECT LABORATORY SERVICES LLC

Laboratory Demographics

  • CLIA Code: 19D0948191
  • Facility Name: DIRECT LABORATORY SERVICES LLC
  • Facility Address: 112 INNWOOD DR, SUITE B
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 800 908-0000
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LEIGH WILKERSON
  • NPI Number: 1922132836
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 19D0948191
LAB Type Independent
Facility Name DIRECT LABORATORY SERVICES LLC
Street 112 INNWOOD DR, SUITE B
City COVINGTON
State LA
ZIP 70433
Phone 800 908-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Independent
Lab Director LEIGH WILKERSON

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