19D1012962 CLIA NUMBER - CHERISE A IRBY MD

Laboratory Demographics

  • CLIA Code: 19D1012962
  • Facility Name: CHERISE A IRBY MD
  • Facility Address: 1905 FAIRFIELD AVENUE
    SHREVEPORT, LA
    ZIP 71101
  • Facility Phone: 318 629-4729
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHERISE A. IRBY
  • NPI Number: 1306832142
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1012962
LAB Type Physician Office
Facility Name CHERISE A IRBY MD
Street 1905 FAIRFIELD AVENUE
City SHREVEPORT
State LA
ZIP 71101
Phone 318 629-4729
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director CHERISE A. IRBY

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