19D2116625 CLIA NUMBER - ROBIN DALE, MD, FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 19D2116625
  • Facility Name: ROBIN DALE, MD, FAMILY MEDICINE
  • Facility Address: 8369 FLORIDA BLVD, STE 7
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 225 380-1771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBIN B. DALE
  • NPI Number: 1578594032
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2116625
LAB Type Physician Office
Facility Name ROBIN DALE, MD, FAMILY MEDICINE
Street 8369 FLORIDA BLVD, STE 7
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 225 380-1771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director ROBIN B. DALE

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