19D2135286 CLIA NUMBER - HEALTHCARE EXPRESS

Laboratory Demographics

  • CLIA Code: 19D2135286
  • Facility Name: HEALTHCARE EXPRESS
  • Facility Address: 4526 NORTHPORT BLVD
    SHREVEPORT, LA
    ZIP 71107
  • Facility Phone: 903 791-9355
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY L. REYNOLDS
  • NPI Number: 1740773662
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2135286
LAB Type Other - URGENT CARE
Facility Name HEALTHCARE EXPRESS
Street 4526 NORTHPORT BLVD
City SHREVEPORT
State LA
ZIP 71107
Phone 903 791-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Other - URGENT CARE
Lab Director TIMOTHY L. REYNOLDS

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