19D2134482 CLIA NUMBER - WEE CARE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2134482
  • Facility Name: WEE CARE PEDIATRICS
  • Facility Address: 2709 MACKEY LANE
    SHREVEPORT, LA
    ZIP 71118
  • Facility Phone: 318 671-1131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HESTER SUH
  • NPI Number: 1750803631
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2134482
LAB Type Physician Office
Facility Name WEE CARE PEDIATRICS
Street 2709 MACKEY LANE
City SHREVEPORT
State LA
ZIP 71118
Phone 318 671-1131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director HESTER SUH

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