19D2176549 CLIA NUMBER - WOMENS HEALTH SPECIALIST OF BOSSIER

Laboratory Demographics

  • CLIA Code: 19D2176549
  • Facility Name: WOMENS HEALTH SPECIALIST OF BOSSIER
  • Facility Address: 2400 HOSPITAL DRIVE, SUITE 400
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 212-7973
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMANDA A. WILLIAMS
  • NPI Number: 1356986178
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2176549
LAB Type Physician Office
Facility Name WOMENS HEALTH SPECIALIST OF BOSSIER
Street 2400 HOSPITAL DRIVE, SUITE 400
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 212-7973
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director AMANDA A. WILLIAMS

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This page was last updated on: 3/20/2025