19D2303160 CLIA NUMBER - CHOUDRANT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D2303160
  • Facility Name: CHOUDRANT PRIMARY CARE
  • Facility Address: 3845 ELM ST, SUITE 3
    CHOUDRANT, LA
    ZIP 71227
  • Facility Phone: 318 695-9200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER S. JUNEAU
  • NPI Number: 1962267922
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2303160
LAB Type Physician Office
Facility Name CHOUDRANT PRIMARY CARE
Street 3845 ELM ST, SUITE 3
City CHOUDRANT
State LA
ZIP 71227
Phone 318 695-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director JENNIFER S. JUNEAU

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