19D2275118 CLIA NUMBER - INTENSIVE SPECIALTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 19D2275118
  • Facility Name: INTENSIVE SPECIALTY HOSPITAL
  • Facility Address: 8001 YOUREE DRIVE, 8TH FLOOR
    SHREVEPORT, LA
    ZIP 71115
  • Facility Phone: 318 425-4096
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SHAWN REED
  • NPI Number: 1598344848
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2275118
LAB Type Hospital
Facility Name INTENSIVE SPECIALTY HOSPITAL
Street 8001 YOUREE DRIVE, 8TH FLOOR
City SHREVEPORT
State LA
ZIP 71115
Phone 318 425-4096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Hospital
Lab Director SHAWN REED

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