19D0982564 CLIA NUMBER - REBECCA CROUCH

Laboratory Demographics

  • CLIA Code: 19D0982564
  • Facility Name: REBECCA CROUCH
  • Facility Address: 166 BEECH SPRINGS ROAD
    JONESBORO, LA
    ZIP 71251
  • Facility Phone: 318 259-3668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA CROUCH, MD
  • NPI Number: 1659383545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0982564
LAB Type Physician Office
Facility Name REBECCA CROUCH
Street 166 BEECH SPRINGS ROAD
City JONESBORO
State LA
ZIP 71251
Phone 318 259-3668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director REBECCA CROUCH, MD

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