19D2023657 CLIA NUMBER - CHATHAM MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D2023657
  • Facility Name: CHATHAM MEDICAL CLINIC
  • Facility Address: 804 CHATHAM AVE
    CHATHAM, LA
    ZIP 71226
  • Facility Phone: 318 249-3200
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. SLUSHER
  • NPI Number: 1295965564
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2023657
LAB Type Rural Health Clinic
Facility Name CHATHAM MEDICAL CLINIC
Street 804 CHATHAM AVE
City CHATHAM
State LA
ZIP 71226
Phone 318 249-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Rural Health Clinic
Lab Director WILLIAM J. SLUSHER

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