19D2189606 CLIA NUMBER - INJURYMD LLC

Laboratory Demographics

  • CLIA Code: 19D2189606
  • Facility Name: INJURYMD LLC
  • Facility Address: 1715 MARYCREST AVE, SUITE 200
    SHREVEPORT, LA
    ZIP 71110
  • Facility Phone: (318) 751-9110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL D. HUCKABEE

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CLIA Record

Field Name Field Value
CLIA Number 19D2189606
LAB Type Physician Office
Facility Name INJURYMD LLC
Street 1715 MARYCREST AVE, SUITE 200
City SHREVEPORT
State LA
ZIP 71110
Phone 3187519110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director SAMUEL D. HUCKABEE

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This page was last updated on: 5/18/2026