19D2081556 CLIA NUMBER - WK WOMENS SPECIALISTS AT SOUTH

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Laboratory Demographics

CLIA Number: 19D2081556

Facility Name: WK WOMENS SPECIALISTS AT SOUTH

Facility Address:
9111 SUSAN DRIVE
SHREVEPORT, LA
ZIP 71118
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Facility Phone Number: 318 212-5969

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689087355

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	19D2081556
LAB Type	Physician Office
Facility Name	WK WOMENS SPECIALISTS AT SOUTH
Street	9111 SUSAN DRIVE
City	SHREVEPORT
State	LA
ZIP	71118
Phone	318 212-5969
CertificateType	3
CertificateEffectiveDate	7/28/2022
CertificateExpirationDate	7/27/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024