19D2284749 CLIA NUMBER - OAKDALE CHILDRENS CLINIC CENLA CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 19D2284749
  • Facility Name: OAKDALE CHILDRENS CLINIC CENLA CHILDRENS CLINIC
  • Facility Address: 211 NORTH 16TH STREET
    OAKDALE, LA
    ZIP 71463
  • Facility Phone: (318) 817-1064
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL DANIVAS
  • NPI Number: 1467135756
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2284749
LAB Type Physician Office
Facility Name OAKDALE CHILDRENS CLINIC CENLA CHILDRENS CLINIC
Street 211 NORTH 16TH STREET
City OAKDALE
State LA
ZIP 71463
Phone 3188171064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Physician Office
Lab Director ANIL DANIVAS

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This page was last updated on: 5/18/2026