19D2284040 CLIA NUMBER - RELIANT SPECIALTY INFUSION

Laboratory Demographics

  • CLIA Code: 19D2284040
  • Facility Name: RELIANT SPECIALTY INFUSION
  • Facility Address: 1401 NORTH 18TH STE A&B
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 855-0847
  • Facility Type: Other - INFUSION CLINIC
  • Facility Type: Waiver
  • Lab Director: ALBERT AURA
  • NPI Number: 1750933230
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D2284040
LAB Type Other - INFUSION CLINIC
Facility Name RELIANT SPECIALTY INFUSION
Street 1401 NORTH 18TH STE A&B
City MONROE
State LA
ZIP 71201
Phone 318 855-0847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Other - INFUSION CLINIC
Lab Director ALBERT AURA

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