19D2246796 CLIA NUMBER - PRACTICARE, LLC

Laboratory Demographics

  • CLIA Code: 19D2246796
  • Facility Name: PRACTICARE, LLC
  • Facility Address: 7406 HWY 1, STE 103
    MANSURA, LA
    ZIP 71350
  • Facility Phone: 318 739-0086
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: WARREN J. PLAUCHE
  • NPI Number: 1649516261
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2246796
LAB Type Rural Health Clinic
Facility Name PRACTICARE, LLC
Street 7406 HWY 1, STE 103
City MANSURA
State LA
ZIP 71350
Phone 318 739-0086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Rural Health Clinic
Lab Director WARREN J. PLAUCHE

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