19D2034118 CLIA NUMBER - DR BRUCE S SAMUELS LLC

Laboratory Demographics

  • CLIA Code: 19D2034118
  • Facility Name: DR BRUCE S SAMUELS LLC
  • Facility Address: 207 HIGHLAND PARK PLAZA
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 871-8920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE S. SAMUELS
  • NPI Number: 1700920725
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2034118
LAB Type Physician Office
Facility Name DR BRUCE S SAMUELS LLC
Street 207 HIGHLAND PARK PLAZA
City COVINGTON
State LA
ZIP 70433
Phone 985 871-8920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director BRUCE S. SAMUELS

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