19D2299624 CLIA NUMBER - TIMELESS HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 19D2299624
  • Facility Name: TIMELESS HEALTH & WELLNESS
  • Facility Address: 513 WASHINGTON AVE
    MANSFIELD, LA
    ZIP 71052
  • Facility Phone: 318 301-6627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED SPENCER WILLIS
  • NPI Number: 1558141937
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2299624
LAB Type Physician Office
Facility Name TIMELESS HEALTH & WELLNESS
Street 513 WASHINGTON AVE
City MANSFIELD
State LA
ZIP 71052
Phone 318 301-6627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director FRED SPENCER WILLIS

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