19D0971816 CLIA NUMBER - SFMG PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D0971816
  • Facility Name: SFMG PEDIATRICS
  • Facility Address: 104 CONTEMPO AVENUE
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 966-5437
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOAQUIN P. ROSALES
  • NPI Number: 1952519639
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D0971816
LAB Type Physician Office
Facility Name SFMG PEDIATRICS
Street 104 CONTEMPO AVENUE
City WEST MONROE
State LA
ZIP 71291
Phone 318 966-5437
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 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director JOAQUIN P. ROSALES

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