19D2069174 CLIA NUMBER - HP LONG URGENT CARE CLINIC - PINEVILLE

Laboratory Demographics

  • CLIA Code: 19D2069174
  • Facility Name: HP LONG URGENT CARE CLINIC - PINEVILLE
  • Facility Address: 213 HOSPITAL BOULEVARD
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 769-5664
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BRUCE HERRINGTON
  • NPI Number: 1083031413
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2069174
LAB Type Community Clinic
Facility Name HP LONG URGENT CARE CLINIC - PINEVILLE
Street 213 HOSPITAL BOULEVARD
City PINEVILLE
State LA
ZIP 71360
Phone 318 769-5664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Community Clinic
Lab Director BRUCE HERRINGTON

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