19D2011589 CLIA NUMBER - WK ENDOCRINE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 19D2011589
  • Facility Name: WK ENDOCRINE SPECIALISTS
  • Facility Address: 2449 HOSPITAL DRIVE, SUITE 400
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 212-7902
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA KIMBALL-RAVARI
  • NPI Number: 1073831004
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2011589
LAB Type Physician Office
Facility Name WK ENDOCRINE SPECIALISTS
Street 2449 HOSPITAL DRIVE, SUITE 400
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 212-7902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director LAURA KIMBALL-RAVARI

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