19D2035282 CLIA NUMBER - COUSHATTA FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 19D2035282
  • Facility Name: COUSHATTA FAMILY MEDICAL CENTER
  • Facility Address: 287 PANTHER TRAIL DRIVE
    KINDER, LA
    ZIP 70648
  • Facility Phone: 337 738-4180
  • Facility Type: Other - EMPLOYER SPONSORED HEALTH
  • Facility Type: Waiver
  • Lab Director: HAROLD WAYNE BERTRAND
  • NPI Number: 1184912321
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2035282
LAB Type Other - EMPLOYER SPONSORED HEALTH
Facility Name COUSHATTA FAMILY MEDICAL CENTER
Street 287 PANTHER TRAIL DRIVE
City KINDER
State LA
ZIP 70648
Phone 337 738-4180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Other - EMPLOYER SPONSORED HEALTH
Lab Director HAROLD WAYNE BERTRAND

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