19D2087108 CLIA NUMBER - GLENWOOD BEHAVIORAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 19D2087108
  • Facility Name: GLENWOOD BEHAVIORAL HEALTH CENTER
  • Facility Address: 128 RIDGEDALE DR
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 329-4525
  • Facility Type: Other - BEHAVIORAL HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: ARUNA GULLAPALLI
  • NPI Number: 1336445816
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2087108
LAB Type Other - BEHAVIORAL HEALTH CENTER
Facility Name GLENWOOD BEHAVIORAL HEALTH CENTER
Street 128 RIDGEDALE DR
City WEST MONROE
State LA
ZIP 71291
Phone 318 329-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Other - BEHAVIORAL HEALTH CENTER
Lab Director ARUNA GULLAPALLI

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