19D2173279 CLIA NUMBER - MARKSVILLE FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 19D2173279
  • Facility Name: MARKSVILLE FAMILY CARE CENTER
  • Facility Address: 5541 HWY 1
    MARKSVILLE, LA
    ZIP 71351
  • Facility Phone: 318 240-7240
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: BEAU BROULLETTE
  • NPI Number: 1518911585
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 19D2173279
LAB Type Rural Health Clinic
Facility Name MARKSVILLE FAMILY CARE CENTER
Street 5541 HWY 1
City MARKSVILLE
State LA
ZIP 71351
Phone 318 240-7240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Rural Health Clinic
Lab Director BEAU BROULLETTE

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