19D2169915 CLIA NUMBER - NIGHTINGAIL HEALTHCARE RESOURCES

Laboratory Demographics

  • CLIA Code: 19D2169915
  • Facility Name: NIGHTINGAIL HEALTHCARE RESOURCES
  • Facility Address: 1910 JACKSON ST
    MONROE, LA
    ZIP 71202
  • Facility Phone: 318 325-7998
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WANDA SMITH
  • NPI Number: 1679042287
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2169915
LAB Type Physician Office
Facility Name NIGHTINGAIL HEALTHCARE RESOURCES
Street 1910 JACKSON ST
City MONROE
State LA
ZIP 71202
Phone 318 325-7998
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director WANDA SMITH

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