19D2141305 CLIA NUMBER - RED RIVER ENT ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 19D2141305
  • Facility Name: RED RIVER ENT ASSOCIATES LLC
  • Facility Address: 221 WINDERMERE BLVD
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 443-9773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL A. GUILLORY
  • NPI Number: 1861629073
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2141305
LAB Type Physician Office
Facility Name RED RIVER ENT ASSOCIATES LLC
Street 221 WINDERMERE BLVD
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 443-9773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director PAUL A. GUILLORY

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