19D1046030 CLIA NUMBER - NORTH WEBSTER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D1046030
  • Facility Name: NORTH WEBSTER MEDICAL CLINIC
  • Facility Address: 106 TRISTATE DRIVE
    SAREPTA, LA
    ZIP 71071
  • Facility Phone: 318 994-2266
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: STEPHANIE S. GARRETT
  • NPI Number: 1932173564
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1046030
LAB Type Rural Health Clinic
Facility Name NORTH WEBSTER MEDICAL CLINIC
Street 106 TRISTATE DRIVE
City SAREPTA
State LA
ZIP 71071
Phone 318 994-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Rural Health Clinic
Lab Director STEPHANIE S. GARRETT

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