19D0987270 CLIA NUMBER - OVERTON BROOKS VAMC

Laboratory Demographics

  • CLIA Code: 19D0987270
  • Facility Name: OVERTON BROOKS VAMC
  • Facility Address: 510 E STONER AVE MAIN BLDG 2ND FL N&E
    SHREVEPORT, LA
    ZIP 71101
  • Facility Phone: 318 221-8411
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MICHAEL CONSTANTINESCU
  • NPI Number: 1548404361
  • Taxonomy: 286500000X - Military Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D0987270
LAB Type Hospital
Facility Name OVERTON BROOKS VAMC
Street 510 E STONER AVE MAIN BLDG 2ND FL N&E
City SHREVEPORT
State LA
ZIP 71101
Phone 318 221-8411
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/1/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director MICHAEL CONSTANTINESCU

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