19D2075131 CLIA NUMBER - MANDY'S PRIMARY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 19D2075131
  • Facility Name: MANDY'S PRIMARY HEALTHCARE
  • Facility Address: 35701 LA HWY 16
    DENHAM SPRINGS, LA
    ZIP 70706
  • Facility Phone: 225 791-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANDY ERWIN
  • NPI Number: 1306246293
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2075131
LAB Type Physician Office
Facility Name MANDY'S PRIMARY HEALTHCARE
Street 35701 LA HWY 16
City DENHAM SPRINGS
State LA
ZIP 70706
Phone 225 791-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director MANDY ERWIN

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