19D2104181 CLIA NUMBER - BENTON MEDICAL

Laboratory Demographics

  • CLIA Code: 19D2104181
  • Facility Name: BENTON MEDICAL
  • Facility Address: 188 BURT BOULEVARD
    BENTON, LA
    ZIP 71006
  • Facility Phone: 318 965-5017
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: CHARLES G. GUEST
  • NPI Number: 1932585841
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2104181
LAB Type Rural Health Clinic
Facility Name BENTON MEDICAL
Street 188 BURT BOULEVARD
City BENTON
State LA
ZIP 71006
Phone 318 965-5017
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Rural Health Clinic
Lab Director CHARLES G. GUEST

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