19D2135781 CLIA NUMBER - COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICES AND ED

Laboratory Demographics

  • CLIA Code: 19D2135781
  • Facility Name: COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICES AND ED
  • Facility Address: 149 STONECREEK DR
    STONEWALL, LA
    ZIP 71078
  • Facility Phone: 318 688-3350
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: F SPENCER WILLIS
  • NPI Number: 1275053506
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2135781
LAB Type Federally Qualified Health Center
Facility Name COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICES AND ED
Street 149 STONECREEK DR
City STONEWALL
State LA
ZIP 71078
Phone 318 688-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2023
Certificate Expiration Date 8/27/2025
Facility Type Federally Qualified Health Center
Lab Director F SPENCER WILLIS

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This page was last updated on: 3/20/2025