19D1043537 CLIA NUMBER - RED RIVER BEHAVIORAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 19D1043537
  • Facility Name: RED RIVER BEHAVIORAL CENTER LLC
  • Facility Address: 2800 MELROSE AVENUE
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 549-2033
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KEITH KESSEL
  • NPI Number: 1881638880
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D1043537
LAB Type Hospital
Facility Name RED RIVER BEHAVIORAL CENTER LLC
Street 2800 MELROSE AVENUE
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 549-2033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Hospital
Lab Director KEITH KESSEL

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