19D1106909 CLIA NUMBER - RED RIVER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 19D1106909
  • Facility Name: RED RIVER SURGERY CENTER
  • Facility Address: 708 NORTH ASHLEY RIDGE LOOP, BUILDING 400
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 272-2214
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KATHRYN BOYD
  • NPI Number: 1427384924
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1106909
LAB Type Ambulance
Facility Name RED RIVER SURGERY CENTER
Street 708 NORTH ASHLEY RIDGE LOOP, BUILDING 400
City SHREVEPORT
State LA
ZIP 71106
Phone 318 272-2214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Ambulance
Lab Director KATHRYN BOYD

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