19D2195707 CLIA NUMBER - COR MEDICAL CLINICAL

Laboratory Demographics

  • CLIA Code: 19D2195707
  • Facility Name: COR MEDICAL CLINICAL
  • Facility Address: 100 CENTURYLINK DRIVE
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 582-7272
  • Facility Type: Other - ONSITE HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: RACHEL E. SHELBY
  • NPI Number: 1699252619
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2195707
LAB Type Other - ONSITE HEALTH CLINIC
Facility Name COR MEDICAL CLINICAL
Street 100 CENTURYLINK DRIVE
City MONROE
State LA
ZIP 71201
Phone 318 582-7272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Other - ONSITE HEALTH CLINIC
Lab Director RACHEL E. SHELBY

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