19D1042415 CLIA NUMBER - CADDO PARISH FIRE DISTRICT #4

Laboratory Demographics

  • CLIA Code: 19D1042415
  • Facility Name: CADDO PARISH FIRE DISTRICT #4
  • Facility Address: 8240 COLQUITT ROAD
    KEITHVILLE, LA
    ZIP 71047
  • Facility Phone: 318 925-2200
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GERALD B. WILLIAMS
  • NPI Number: 1912123829
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D1042415
LAB Type Ambulance
Facility Name CADDO PARISH FIRE DISTRICT #4
Street 8240 COLQUITT ROAD
City KEITHVILLE
State LA
ZIP 71047
Phone 318 925-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Ambulance
Lab Director GERALD B. WILLIAMS

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