19D0985473 CLIA NUMBER - WK BOSSIER PEDIATRIC PARTNERS

Laboratory Demographics

  • CLIA Code: 19D0985473
  • Facility Name: WK BOSSIER PEDIATRIC PARTNERS
  • Facility Address: 2300 HOSPITAL DRIVE, SUITE 340
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 212-7883
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QUYNH DANG
  • NPI Number: 1649595950
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0985473
LAB Type Physician Office
Facility Name WK BOSSIER PEDIATRIC PARTNERS
Street 2300 HOSPITAL DRIVE, SUITE 340
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 212-7883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director QUYNH DANG

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