19D2230503 CLIA NUMBER - MEDCENTRIS OF DENHAM SPRINGS

Laboratory Demographics

  • CLIA Code: 19D2230503
  • Facility Name: MEDCENTRIS OF DENHAM SPRINGS
  • Facility Address: 31839 LA HWY 16, SUITE B
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 985 892-7070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUN R. CARPENTER
  • NPI Number: 1568793750
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2230503
LAB Type Physician Office
Facility Name MEDCENTRIS OF DENHAM SPRINGS
Street 31839 LA HWY 16, SUITE B
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 985 892-7070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director SHAUN R. CARPENTER

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