19D2194816 CLIA NUMBER - DELTA MED CLINIC LLC

Laboratory Demographics

  • CLIA Code: 19D2194816
  • Facility Name: DELTA MED CLINIC LLC
  • Facility Address: 1305 FOURTH ST
    JONESVILLE, LA
    ZIP 71343
  • Facility Phone: 318 403-6080
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAUREN B. KING
  • NPI Number: 1518570688
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2194816
LAB Type Practitioner Other
Facility Name DELTA MED CLINIC LLC
Street 1305 FOURTH ST
City JONESVILLE
State LA
ZIP 71343
Phone 318 403-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Practitioner Other
Lab Director LAUREN B. KING

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