19D2013630 CLIA NUMBER - OAKDALE INTERNAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 19D2013630
  • Facility Name: OAKDALE INTERNAL MEDICINE, LLC
  • Facility Address: 107 HOSPITAL DRIVE
    OAKDALE, LA
    ZIP 71463
  • Facility Phone: 318 335-4449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BINITHA JOSEPH
  • NPI Number: 1639498496
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2013630
LAB Type Physician Office
Facility Name OAKDALE INTERNAL MEDICINE, LLC
Street 107 HOSPITAL DRIVE
City OAKDALE
State LA
ZIP 71463
Phone 318 335-4449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director BINITHA JOSEPH

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