19D2106966 CLIA NUMBER - CHRISTUS ADVANCED DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 19D2106966
  • Facility Name: CHRISTUS ADVANCED DIAGNOSTICS
  • Facility Address: 855 PIERREMONT RD, SUITE 105
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 861-7413
  • Facility Type: Other - INDEPEN. DIAGN. TESTING
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. JONES
  • NPI Number: 1548656465
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2106966
LAB Type Other - INDEPEN. DIAGN. TESTING
Facility Name CHRISTUS ADVANCED DIAGNOSTICS
Street 855 PIERREMONT RD, SUITE 105
City SHREVEPORT
State LA
ZIP 71106
Phone 318 861-7413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Other - INDEPEN. DIAGN. TESTING
Lab Director MICHAEL E. JONES

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