19D2164895 CLIA NUMBER - FOOT AND ANKLE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 19D2164895
  • Facility Name: FOOT AND ANKLE SPECIALISTS
  • Facility Address: 415 BIENVILLE ST SUITE 1
    NATCHITOCHES, LA
    ZIP 71457
  • Facility Phone: 318 238-2504
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OGHALE ELEYAE
  • NPI Number: 1114586344
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 19D2164895
LAB Type Physician Office
Facility Name FOOT AND ANKLE SPECIALISTS
Street 415 BIENVILLE ST SUITE 1
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 238-2504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director OGHALE ELEYAE

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