19D2031062 CLIA NUMBER - LEESVILLE CBOC- FORT POLK

Laboratory Demographics

  • CLIA Code: 19D2031062
  • Facility Name: LEESVILLE CBOC- FORT POLK
  • Facility Address: 3353 UNIVERSITY PARKWAY
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 392-3829
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JANE DRY
  • NPI Number: 1518337997
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2031062
LAB Type Community Clinic
Facility Name LEESVILLE CBOC- FORT POLK
Street 3353 UNIVERSITY PARKWAY
City LEESVILLE
State LA
ZIP 71446
Phone 337 392-3829
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/12/2011
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JANE DRY

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