19D2301243 CLIA NUMBER - MIND AND BODY CONNECTIONS LLC

Laboratory Demographics

  • CLIA Code: 19D2301243
  • Facility Name: MIND AND BODY CONNECTIONS LLC
  • Facility Address: 117 MARIE STREET
    SUNSET, LA
    ZIP 70584
  • Facility Phone: 337 678-0366
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WRONETTA A. CHARLES
  • NPI Number: 1073022950
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2301243
LAB Type Practitioner Other
Facility Name MIND AND BODY CONNECTIONS LLC
Street 117 MARIE STREET
City SUNSET
State LA
ZIP 70584
Phone 337 678-0366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Practitioner Other
Lab Director WRONETTA A. CHARLES

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