19D2149622 CLIA NUMBER - A-1 SPARROW HEALTH SYSTEMS, LLC

Laboratory Demographics

  • CLIA Code: 19D2149622
  • Facility Name: A-1 SPARROW HEALTH SYSTEMS, LLC
  • Facility Address: 3000 KNIGHT ST #207
    SHREVEPORT, LA
    ZIP 71105
  • Facility Phone: 318 779-2417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TREADIA D. BIRDSONG
  • NPI Number: 1518201649
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2149622
LAB Type Physician Office
Facility Name A-1 SPARROW HEALTH SYSTEMS, LLC
Street 3000 KNIGHT ST #207
City SHREVEPORT
State LA
ZIP 71105
Phone 318 779-2417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director TREADIA D. BIRDSONG

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