19D1056307 CLIA NUMBER - LEGACY PEDIATRICS, APMC

Laboratory Demographics

  • CLIA Code: 19D1056307
  • Facility Name: LEGACY PEDIATRICS, APMC
  • Facility Address: 107 CONTEMPO SUITE A
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 324-0111
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. CYNTHIA BIMLE
  • NPI Number: 1083156632
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D1056307
LAB Type Physician Office
Facility Name LEGACY PEDIATRICS, APMC
Street 107 CONTEMPO SUITE A
City WEST MONROE
State LA
ZIP 71291
Phone 318 324-0111
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director DR. CYNTHIA BIMLE

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