19D0981240 CLIA NUMBER - CENTRAL LOUISIANA HUMAN SERVICES DISTRICT

Laboratory Demographics

  • CLIA Code: 19D0981240
  • Facility Name: CENTRAL LOUISIANA HUMAN SERVICES DISTRICT
  • Facility Address: 5411 COLISEUM BLVD
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 487-5191
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. DECAIRE
  • NPI Number: 1811363872
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 19D0981240
LAB Type Community Clinic
Facility Name CENTRAL LOUISIANA HUMAN SERVICES DISTRICT
Street 5411 COLISEUM BLVD
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 487-5191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Community Clinic
Lab Director MICHAEL R. DECAIRE

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