19D0957069 CLIA NUMBER - CENLA HEART SPECIALISTS

Laboratory Demographics

  • CLIA Code: 19D0957069
  • Facility Name: CENLA HEART SPECIALISTS
  • Facility Address: 2108 TEXAS AVENUE SUITE 2061
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 448-1041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HARRY R. HAWTHORNE, MD
  • NPI Number: 1063579456
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0957069
LAB Type Physician Office
Facility Name CENLA HEART SPECIALISTS
Street 2108 TEXAS AVENUE SUITE 2061
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 448-1041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director HARRY R. HAWTHORNE, MD

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