Healther Providers Data Logo

19D2186079 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE-BOSSIER CITY

Laboratory Demographics

CLIA Number: 19D2186079

Facility Name: CENTERWELL SENIOR PRIMARY CARE-BOSSIER CITY

Facility Address:
2900 E TEXAS ST, SUITE 100
BOSSIER CITY, LA
ZIP 71111
Get Directions

Facility Phone Number: 318 606-6737

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1760005136

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 19D2186079
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE-BOSSIER CITY
Street 2900 E TEXAS ST, SUITE 100
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 606-6737
CertificateType 4
CertificateEffectiveDate 6/15/2022
CertificateExpirationDate 6/14/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024