19D2098935 CLIA NUMBER - NEUROMEDICAL CLINIC OF CENTRAL LOUISIANA

Laboratory Demographics

  • CLIA Code: 19D2098935
  • Facility Name: NEUROMEDICAL CLINIC OF CENTRAL LOUISIANA
  • Facility Address: 3311 PRESCOTT DR, SUITE 216
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 443-0490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GONZALO I. HIDALGO
  • NPI Number: 1760643670
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 19D2098935
LAB Type Physician Office
Facility Name NEUROMEDICAL CLINIC OF CENTRAL LOUISIANA
Street 3311 PRESCOTT DR, SUITE 216
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 443-0490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2023
Certificate Expiration Date 7/16/2025
Facility Type Physician Office
Lab Director GONZALO I. HIDALGO

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This page was last updated on: 6/4/2025