19D2178660 CLIA NUMBER - CENLA KIDNEY SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 19D2178660
  • Facility Name: CENLA KIDNEY SPECIALISTS, LLC
  • Facility Address: 2220 WORLEY DRIVE
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 704-0001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALDOUN SOUDAN
  • NPI Number: 1114489929
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2178660
LAB Type Physician Office
Facility Name CENLA KIDNEY SPECIALISTS, LLC
Street 2220 WORLEY DRIVE
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 704-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director KHALDOUN SOUDAN

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