19D2258860 CLIA NUMBER - RED RIVER ALEXANDRIA OUTPATIENT

Laboratory Demographics

  • CLIA Code: 19D2258860
  • Facility Name: RED RIVER ALEXANDRIA OUTPATIENT
  • Facility Address: 3516 NORTH BLVD, SUITE A
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 441-5900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALISHA VERRET
  • NPI Number: 1962474759
  • Taxonomy: 207UN0901X - Nuclear Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2258860
LAB Type Practitioner Other
Facility Name RED RIVER ALEXANDRIA OUTPATIENT
Street 3516 NORTH BLVD, SUITE A
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 441-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Practitioner Other
Lab Director ALISHA VERRET

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