19D2120187 CLIA NUMBER - WKMC CARDIOVASCULAR CONSULTANTS

Laboratory Demographics

  • CLIA Code: 19D2120187
  • Facility Name: WKMC CARDIOVASCULAR CONSULTANTS
  • Facility Address: 2727 HEARNE AVENUE
    SHREVEPORT, LA
    ZIP 71103
  • Facility Phone: 318 631-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP ROZEMAN
  • NPI Number: 1801205802
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2120187
LAB Type Physician Office
Facility Name WKMC CARDIOVASCULAR CONSULTANTS
Street 2727 HEARNE AVENUE
City SHREVEPORT
State LA
ZIP 71103
Phone 318 631-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director PHILLIP ROZEMAN

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