19D2096994 CLIA NUMBER - WILLIS KNIGHTON INTERNAL MEDICINE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 19D2096994
  • Facility Name: WILLIS KNIGHTON INTERNAL MEDICINE SPECIALISTS
  • Facility Address: 8001 YOUREE DRIVE, SUITE 720
    SHREVEPORT, LA
    ZIP 71115
  • Facility Phone: 318 212-3681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMLESH D. JANI
  • NPI Number: 1871043836
  • Taxonomy: 282NW0100X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2096994
LAB Type Physician Office
Facility Name WILLIS KNIGHTON INTERNAL MEDICINE SPECIALISTS
Street 8001 YOUREE DRIVE, SUITE 720
City SHREVEPORT
State LA
ZIP 71115
Phone 318 212-3681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director KAMLESH D. JANI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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