19D2211996 CLIA NUMBER - BLANCHARD MEDICAL

Laboratory Demographics

  • CLIA Code: 19D2211996
  • Facility Name: BLANCHARD MEDICAL
  • Facility Address: 5948 NORTH MARKET
    SHREVEPORT, LA
    ZIP 71107
  • Facility Phone: 318 375-7211
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHARLES G. GUEST
  • NPI Number: 1760089791
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2211996
LAB Type Physician Office
Facility Name BLANCHARD MEDICAL
Street 5948 NORTH MARKET
City SHREVEPORT
State LA
ZIP 71107
Phone 318 375-7211
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Physician Office
Lab Director CHARLES G. GUEST

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