19D2059742 CLIA NUMBER - PIERREMONT EYE INSTITUTE

Laboratory Demographics

  • CLIA Code: 19D2059742
  • Facility Name: PIERREMONT EYE INSTITUTE
  • Facility Address: 7607 YOUREE DR
    SHREVEPORT, LA
    ZIP 71105
  • Facility Phone: 318 212-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEY W. SIPES
  • NPI Number: 1306915517
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 19D2059742
LAB Type Physician Office
Facility Name PIERREMONT EYE INSTITUTE
Street 7607 YOUREE DR
City SHREVEPORT
State LA
ZIP 71105
Phone 318 212-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director ASHLEY W. SIPES

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