19D1071633 CLIA NUMBER - PHYSICIANS BEHAVORIAL HOSPITAL LLC

Laboratory Demographics

  • CLIA Code: 19D1071633
  • Facility Name: PHYSICIANS BEHAVORIAL HOSPITAL LLC
  • Facility Address: 2025 DESOTO STREET
    SHREVEPORT, LA
    ZIP 71103
  • Facility Phone: 337 233-4165
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LLOYD BELLAH, MD
  • NPI Number: 1356552806
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D1071633
LAB Type Hospital
Facility Name PHYSICIANS BEHAVORIAL HOSPITAL LLC
Street 2025 DESOTO STREET
City SHREVEPORT
State LA
ZIP 71103
Phone 337 233-4165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Hospital
Lab Director LLOYD BELLAH, MD

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