19D2289669 CLIA NUMBER - DAVID RAINES COMMUNITY HEALTH CENTER - TURNER

Laboratory Demographics

CLIA Number: 19D2289669

Facility Name: DAVID RAINES COMMUNITY HEALTH CENTER - TURNER

Facility Address:
5904 WEST 70TH ST
SHREVEPORT, LA
ZIP 71129
Get Directions

Facility Phone Number: 318 227-3350

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1760042394

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2289669
LAB Type	Federally Qualified Health Center
Facility Name	DAVID RAINES COMMUNITY HEALTH CENTER - TURNER
Street	5904 WEST 70TH ST
City	SHREVEPORT
State	LA
ZIP	71129
Phone	318 227-3350
CertificateType	4
CertificateEffectiveDate	9/13/2023
CertificateExpirationDate	9/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024