19D2133665 CLIA NUMBER - MINDEN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D2133665
  • Facility Name: MINDEN PRIMARY CARE
  • Facility Address: 1111 HOMER ROAD
    MINDEN, LA
    ZIP 71055
  • Facility Phone: (318) 377-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY S. PHILLIPS
  • NPI Number: 1699834473
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2133665
LAB Type Physician Office
Facility Name MINDEN PRIMARY CARE
Street 1111 HOMER ROAD
City MINDEN
State LA
ZIP 71055
Phone 3183777500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Physician Office
Lab Director GREGORY S. PHILLIPS

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This page was last updated on: 5/18/2026