19D2130461 CLIA NUMBER - WINN WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 19D2130461
  • Facility Name: WINN WELLNESS CLINIC
  • Facility Address: 301 W BOUNDARY AVE, STE B
    WINNFIELD, LA
    ZIP 71483
  • Facility Phone: 318 209-4646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK V. SHELTON
  • NPI Number: 1811436058
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2130461
LAB Type Physician Office
Facility Name WINN WELLNESS CLINIC
Street 301 W BOUNDARY AVE, STE B
City WINNFIELD
State LA
ZIP 71483
Phone 318 209-4646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director MARK V. SHELTON

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