19D2161542 CLIA NUMBER - GASTROINTESTINAL SPECIALIST, AMC

Laboratory Demographics

  • CLIA Code: 19D2161542
  • Facility Name: GASTROINTESTINAL SPECIALIST, AMC
  • Facility Address: 8001 YOUREE DRIVE, SUITE 540
    SHREVEPORT, LA
    ZIP 71115
  • Facility Phone: 318 631-9121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. PHILIPS
  • NPI Number: 1932171725
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2161542
LAB Type Physician Office
Facility Name GASTROINTESTINAL SPECIALIST, AMC
Street 8001 YOUREE DRIVE, SUITE 540
City SHREVEPORT
State LA
ZIP 71115
Phone 318 631-9121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director DAVID M. PHILIPS

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