19D2110498 CLIA NUMBER - ELIZABETH FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 19D2110498
  • Facility Name: ELIZABETH FAMILY CLINIC
  • Facility Address: 4855 HWY 10 W, SUITE C
    ELIZABETH, LA
    ZIP 70638
  • Facility Phone: 318 306-6055
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: PAULA S. GATES
  • NPI Number: 1295776680
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2110498
LAB Type Rural Health Clinic
Facility Name ELIZABETH FAMILY CLINIC
Street 4855 HWY 10 W, SUITE C
City ELIZABETH
State LA
ZIP 70638
Phone 318 306-6055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Rural Health Clinic
Lab Director PAULA S. GATES

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