19D0952928 CLIA NUMBER - PRIMARY HEALTH SERVICES CENTER

Laboratory Demographics

  • CLIA Code: 19D0952928
  • Facility Name: PRIMARY HEALTH SERVICES CENTER
  • Facility Address: 2913 DESIARD STREET
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 388-1250
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JOEL NORRIS
  • NPI Number: 1104384205
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0952928
LAB Type Federally Qualified Health Center
Facility Name PRIMARY HEALTH SERVICES CENTER
Street 2913 DESIARD STREET
City MONROE
State LA
ZIP 71201
Phone 318 388-1250
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 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Federally Qualified Health Center
Lab Director JOEL NORRIS

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