19D1054496 CLIA NUMBER - CADDO PARISH FIRE DISTRICT NO SIX

Laboratory Demographics

  • CLIA Code: 19D1054496
  • Facility Name: CADDO PARISH FIRE DISTRICT NO SIX
  • Facility Address: 11450 OLD MANSFIELD ROAD
    KEITHVILLE, LA
    ZIP 71047
  • Facility Phone: 318 925-8791
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAMON A. JOHNSON
  • NPI Number: 1114964533
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1054496
LAB Type Ambulance
Facility Name CADDO PARISH FIRE DISTRICT NO SIX
Street 11450 OLD MANSFIELD ROAD
City KEITHVILLE
State LA
ZIP 71047
Phone 318 925-8791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Ambulance
Lab Director DAMON A. JOHNSON

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