19D2131094 CLIA NUMBER - CHRISTUS CENTER FOR INPATIENT REHABILITATION

Laboratory Demographics

  • CLIA Code: 19D2131094
  • Facility Name: CHRISTUS CENTER FOR INPATIENT REHABILITATION
  • Facility Address: 1035 MARGARET PLACE
    SHREVEPORT, LA
    ZIP 71101
  • Facility Phone: 318 681-4431
  • Facility Type: Other - INPATIENT REHAB
  • Facility Type: Waiver
  • Lab Director: RENNE EVANS
  • NPI Number: 1366550998
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D2131094
LAB Type Other - INPATIENT REHAB
Facility Name CHRISTUS CENTER FOR INPATIENT REHABILITATION
Street 1035 MARGARET PLACE
City SHREVEPORT
State LA
ZIP 71101
Phone 318 681-4431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Other - INPATIENT REHAB
Lab Director RENNE EVANS

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