19D2002971 CLIA NUMBER - RED RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 19D2002971
  • Facility Name: RED RIVER DIALYSIS
  • Facility Address: 9205 LINWOOD AVENUE
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 603-0548
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARISA JOHNSON
  • NPI Number: 1992035232
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2002971
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RED RIVER DIALYSIS
Street 9205 LINWOOD AVENUE
City SHREVEPORT
State LA
ZIP 71106
Phone 318 603-0548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARISA JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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