19D2291235 CLIA NUMBER - WK RUSTON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2291235
  • Facility Name: WK RUSTON PEDIATRICS
  • Facility Address: 931 NORTH TRENTON
    RUSTON, LA
    ZIP 71270
  • Facility Phone: 318 497-7750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAYANNY LANGUILLI
  • NPI Number: 1679351795
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2291235
LAB Type Physician Office
Facility Name WK RUSTON PEDIATRICS
Street 931 NORTH TRENTON
City RUSTON
State LA
ZIP 71270
Phone 318 497-7750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director DAYANNY LANGUILLI

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