19D2291246 CLIA NUMBER - WELLNECESSITIES

Laboratory Demographics

  • CLIA Code: 19D2291246
  • Facility Name: WELLNECESSITIES
  • Facility Address: 8835 LINE AVE, SUITE 500
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 222-0885
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANITRA N. DUNN
  • NPI Number: 1679624209
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2291246
LAB Type Practitioner Other
Facility Name WELLNECESSITIES
Street 8835 LINE AVE, SUITE 500
City SHREVEPORT
State LA
ZIP 71106
Phone 318 222-0885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Practitioner Other
Lab Director ANITRA N. DUNN

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