19D0989849 CLIA NUMBER - PEDIATRIC ASSOC

Laboratory Demographics

  • CLIA Code: 19D0989849
  • Facility Name: PEDIATRIC ASSOC
  • Facility Address: 2600 TOWER DRIVE SUITE 214
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 323-8824
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TAYLOR SHEPHERD
  • NPI Number: 1144432204
  • Taxonomy: 2080H0002X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0989849
LAB Type Physician Office
Facility Name PEDIATRIC ASSOC
Street 2600 TOWER DRIVE SUITE 214
City MONROE
State LA
ZIP 71201
Phone 318 323-8824
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director TAYLOR SHEPHERD

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