19D2061569 CLIA NUMBER - CENLA OCCUPATIONAL MEDICINE SERVICES

Laboratory Demographics

  • CLIA Code: 19D2061569
  • Facility Name: CENLA OCCUPATIONAL MEDICINE SERVICES
  • Facility Address: 3221 MILITARY HIGHWAY
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 787-0610
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TRACIE L. GIVENS
  • NPI Number: 1427399195
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2061569
LAB Type Practitioner Other
Facility Name CENLA OCCUPATIONAL MEDICINE SERVICES
Street 3221 MILITARY HIGHWAY
City PINEVILLE
State LA
ZIP 71360
Phone 318 787-0610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Practitioner Other
Lab Director TRACIE L. GIVENS

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