19D1059302 CLIA NUMBER - RONALD C HUBBARD, SR, MD

Laboratory Demographics

  • CLIA Code: 19D1059302
  • Facility Name: RONALD C HUBBARD, SR, MD
  • Facility Address: 2600 TOWER DRIVE STE 309
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 966-6575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD C. HUBBARD, SR, MD
  • NPI Number: 1427031640
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1059302
LAB Type Physician Office
Facility Name RONALD C HUBBARD, SR, MD
Street 2600 TOWER DRIVE STE 309
City MONROE
State LA
ZIP 71201
Phone 318 966-6575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director RONALD C. HUBBARD, SR, MD

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