19D1099381 CLIA NUMBER - JADE N HEINEN MD APMC

Laboratory Demographics

  • CLIA Code: 19D1099381
  • Facility Name: JADE N HEINEN MD APMC
  • Facility Address: 1535 W MAIN ST, SUITE #6
    VILLE PLATTE, LA
    ZIP 70586
  • Facility Phone: 337 457-8166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JADE N. HEINEN MD
  • NPI Number: 1174732424
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1099381
LAB Type Physician Office
Facility Name JADE N HEINEN MD APMC
Street 1535 W MAIN ST, SUITE #6
City VILLE PLATTE
State LA
ZIP 70586
Phone 337 457-8166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director JADE N. HEINEN MD

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