19D2288939 CLIA NUMBER - ADVANCED PRIMARY CARE OF LOUISIANA

Laboratory Demographics

  • CLIA Code: 19D2288939
  • Facility Name: ADVANCED PRIMARY CARE OF LOUISIANA
  • Facility Address: 4275 WEST MAIN ST
    GRAY, LA
    ZIP 70359
  • Facility Phone: 985 205-1310
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DARIN BRANSON
  • NPI Number: 1114974235
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 19D2288939
LAB Type Practitioner Other
Facility Name ADVANCED PRIMARY CARE OF LOUISIANA
Street 4275 WEST MAIN ST
City GRAY
State LA
ZIP 70359
Phone 985 205-1310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Practitioner Other
Lab Director DARIN BRANSON

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