19D2058370 CLIA NUMBER - MITCHELLS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2058370
  • Facility Name: MITCHELLS PEDIATRICS
  • Facility Address: 221 PECAN PARK AVE
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 487-1602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCIA MITCHELL
  • NPI Number: 1366785560
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2058370
LAB Type Physician Office
Facility Name MITCHELLS PEDIATRICS
Street 221 PECAN PARK AVE
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 487-1602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director MARCIA MITCHELL

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