19D1047971 CLIA NUMBER - MILLS CLINIC

Laboratory Demographics

CLIA Number: 19D1047971

Facility Name: MILLS CLINIC

Facility Address:
7225 FERN AVENUE SUITE 600
SHREVEPORT, LA
ZIP 71105
Get Directions

Facility Phone Number: 318 629-3630

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1649328030

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1047971
LAB Type	Physician Office
Facility Name	MILLS CLINIC
Street	7225 FERN AVENUE SUITE 600
City	SHREVEPORT
State	LA
ZIP	71105
Phone	318 629-3630
CertificateType	3
CertificateEffectiveDate	5/21/2022
CertificateExpirationDate	5/20/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024