19D2205597 CLIA NUMBER - WINN RURAL HEALTH

Laboratory Demographics

  • CLIA Code: 19D2205597
  • Facility Name: WINN RURAL HEALTH
  • Facility Address: 639 W LAFAYETTE ST
    WINNFIELD, LA
    ZIP 71483
  • Facility Phone: 318 648-3025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK V. SHELTON
  • NPI Number: 1467055442
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2205597
LAB Type Physician Office
Facility Name WINN RURAL HEALTH
Street 639 W LAFAYETTE ST
City WINNFIELD
State LA
ZIP 71483
Phone 318 648-3025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director MARK V. SHELTON

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