19D2233236 CLIA NUMBER - JENNIFER RUDD MCCANN MD LLC

Laboratory Demographics

  • CLIA Code: 19D2233236
  • Facility Name: JENNIFER RUDD MCCANN MD LLC
  • Facility Address: 401 S WASHINGTON ST
    DERIDDER, LA
    ZIP 70634
  • Facility Phone: 337 515-4537
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER MCCANN
  • NPI Number: 1083816854
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2233236
LAB Type Physician Office
Facility Name JENNIFER RUDD MCCANN MD LLC
Street 401 S WASHINGTON ST
City DERIDDER
State LA
ZIP 70634
Phone 337 515-4537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director JENNIFER MCCANN

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