19D2112167 CLIA NUMBER - ABC PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 19D2112167
  • Facility Name: ABC PEDIATRICS, LLC
  • Facility Address: 164 COUNTRY CLUB CIRCLE, SUITE B
    MINDEN, LA
    ZIP 71055
  • Facility Phone: 318 639-9422
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRISTAL C. KIRBY
  • NPI Number: 1285080358
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2112167
LAB Type Physician Office
Facility Name ABC PEDIATRICS, LLC
Street 164 COUNTRY CLUB CIRCLE, SUITE B
City MINDEN
State LA
ZIP 71055
Phone 318 639-9422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director CRISTAL C. KIRBY

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