19D2169849 CLIA NUMBER - WK PREFERRED PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2169849
  • Facility Name: WK PREFERRED PEDIATRICS
  • Facility Address: 2300 HOSPITAL DRIVE, SUITE 420
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 212-7982
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL WHITE
  • NPI Number: 1760043491
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2169849
LAB Type Physician Office
Facility Name WK PREFERRED PEDIATRICS
Street 2300 HOSPITAL DRIVE, SUITE 420
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 212-7982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director RANDALL WHITE

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