19D2236856 CLIA NUMBER - LOUISIANA ACCIDENT & INJURY CARE EASTERLY ENTERPRISES, LLC

Laboratory Demographics

  • CLIA Code: 19D2236856
  • Facility Name: LOUISIANA ACCIDENT & INJURY CARE EASTERLY ENTERPRISES, LLC
  • Facility Address: 801 JOHNSON STREET
    TALLULAH, LA
    ZIP 71282
  • Facility Phone: 318 935-0899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW EASTERLY
  • NPI Number: 1023855947
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 19D2236856
LAB Type Physician Office
Facility Name LOUISIANA ACCIDENT & INJURY CARE EASTERLY ENTERPRISES, LLC
Street 801 JOHNSON STREET
City TALLULAH
State LA
ZIP 71282
Phone 318 935-0899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director ANDREW EASTERLY

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