19D2210487 CLIA NUMBER - STEWART MED SERVICES

Laboratory Demographics

  • CLIA Code: 19D2210487
  • Facility Name: STEWART MED SERVICES
  • Facility Address: 1130 S RANGE AVE, SUITE C
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 225 308-4553
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KIERRA STEWART
  • NPI Number: 1376996280
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2210487
LAB Type Mobile Laboratory
Facility Name STEWART MED SERVICES
Street 1130 S RANGE AVE, SUITE C
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 225 308-4553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Mobile Laboratory
Lab Director KIERRA STEWART

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