19D1026921 CLIA NUMBER - NORTHSHORE EMS

Laboratory Demographics

  • CLIA Code: 19D1026921
  • Facility Name: NORTHSHORE EMS
  • Facility Address: 153 MONTGOMERY STREET
    BOGALUSA, LA
    ZIP 70427
  • Facility Phone: 985 735-5918
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID MARCUS
  • NPI Number: 1083287163
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 19D1026921
LAB Type Ambulance
Facility Name NORTHSHORE EMS
Street 153 MONTGOMERY STREET
City BOGALUSA
State LA
ZIP 70427
Phone 985 735-5918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Ambulance
Lab Director DAVID MARCUS

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