19D1011290 CLIA NUMBER - JONESBORO FAMILY CARE CLINIC

Laboratory Demographics

CLIA Code: 19D1011290
Facility Name: JONESBORO FAMILY CARE CLINIC
Facility Address: 121 WATTS STREET
JONESBORO, LA
ZIP 71251
Facility Phone: 318 395-0521
Facility Type: Rural Health Clinic
Facility Type: Waiver
Lab Director: WILLIAM J. SLUSHER
NPI Number: 1962617282
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	19D1011290
LAB Type	Rural Health Clinic
Facility Name	JONESBORO FAMILY CARE CLINIC
Street	121 WATTS STREET
City	JONESBORO
State	LA
ZIP	71251
Phone	318 395-0521
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/7/2025
Certificate Expiration Date	4/6/2027
Facility Type	Rural Health Clinic
Lab Director	WILLIAM J. SLUSHER

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