19D0977384 CLIA NUMBER - MINERVA RAMIREZ, MD

Laboratory Demographics

  • CLIA Code: 19D0977384
  • Facility Name: MINERVA RAMIREZ, MD
  • Facility Address: 1110 PORT ARTHUR TERRACE
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 392-2360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MINERVA M. RAMIREZ, MD
  • NPI Number: 1760570667
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D0977384
LAB Type Physician Office
Facility Name MINERVA RAMIREZ, MD
Street 1110 PORT ARTHUR TERRACE
City LEESVILLE
State LA
ZIP 71446
Phone 337 392-2360
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 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director MINERVA M. RAMIREZ, MD

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