19D2019300 CLIA NUMBER - CHILDREN'S INTERNATIONAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 19D2019300
  • Facility Name: CHILDREN'S INTERNATIONAL MEDICAL GROUP
  • Facility Address: 2401 WASHINGTON ST
    FRANKLINTON, LA
    ZIP 70438
  • Facility Phone: 985 795-2228
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO J. HERNANDEZ
  • NPI Number: 1699210716
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2019300
LAB Type Physician Office
Facility Name CHILDREN'S INTERNATIONAL MEDICAL GROUP
Street 2401 WASHINGTON ST
City FRANKLINTON
State LA
ZIP 70438
Phone 985 795-2228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director EDUARDO J. HERNANDEZ

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