19D1011248 CLIA NUMBER - LASALLE KIDCARE

Laboratory Demographics

  • CLIA Code: 19D1011248
  • Facility Name: LASALLE KIDCARE
  • Facility Address: 180 NINTH STREET, SUITE A
    JENA, LA
    ZIP 71342
  • Facility Phone: 318 992-9296
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN L. CLARK
  • NPI Number: 1215111448
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1011248
LAB Type Rural Health Clinic
Facility Name LASALLE KIDCARE
Street 180 NINTH STREET, SUITE A
City JENA
State LA
ZIP 71342
Phone 318 992-9296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Rural Health Clinic
Lab Director JOHN L. CLARK

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