19D2121203 CLIA NUMBER - QUICK CARE OF RUSTON

Laboratory Demographics

  • CLIA Code: 19D2121203
  • Facility Name: QUICK CARE OF RUSTON
  • Facility Address: 1420 COMMERCE ST
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 255-3762
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN BAINES
  • NPI Number: 1639252489
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2121203
LAB Type Physician Office
Facility Name QUICK CARE OF RUSTON
Street 1420 COMMERCE ST
City RUSTON
State LA
ZIP 71270
Phone 318 255-3762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director JOHNATHAN BAINES

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