19D0988861 CLIA NUMBER - WILLIS KNIGHTON WORK KARE

Laboratory Demographics

  • CLIA Code: 19D0988861
  • Facility Name: WILLIS KNIGHTON WORK KARE
  • Facility Address: 2724 GREENWOOD ROAD
    SHREVEPORT, LA
    ZIP 71103
  • Facility Phone: 318 212-4750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVINDRA GOEL
  • NPI Number: 1700180049
  • Taxonomy: 261QX0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0988861
LAB Type Physician Office
Facility Name WILLIS KNIGHTON WORK KARE
Street 2724 GREENWOOD ROAD
City SHREVEPORT
State LA
ZIP 71103
Phone 318 212-4750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director RAVINDRA GOEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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