19D1046954 CLIA NUMBER - WEST LOUISIANA FAMILY PRACTICE-ROSEPINE

Laboratory Demographics

  • CLIA Code: 19D1046954
  • Facility Name: WEST LOUISIANA FAMILY PRACTICE-ROSEPINE
  • Facility Address: 18570 JOHNNY B HALL ROAD
    ROSEPINE, LA
    ZIP 70659
  • Facility Phone: 337 462-1913
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NICHOLE M. CHURCHMAN
  • NPI Number: 1982164224
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1046954
LAB Type Rural Health Clinic
Facility Name WEST LOUISIANA FAMILY PRACTICE-ROSEPINE
Street 18570 JOHNNY B HALL ROAD
City ROSEPINE
State LA
ZIP 70659
Phone 337 462-1913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director NICHOLE M. CHURCHMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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