19D2311357 CLIA NUMBER - SULLIVAN MANAGEMENT DBA GROWING HOPE RECOVERY

Laboratory Demographics

  • CLIA Code: 19D2311357
  • Facility Name: SULLIVAN MANAGEMENT DBA GROWING HOPE RECOVERY
  • Facility Address: 1002 NORTH 6TH ST
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 789-1773
  • Facility Type: Other - COUNSELING OFFICE
  • Facility Type: Waiver
  • Lab Director: CECILIA SULLIVAN
  • NPI Number: 1811721046
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2311357
LAB Type Other - COUNSELING OFFICE
Facility Name SULLIVAN MANAGEMENT DBA GROWING HOPE RECOVERY
Street 1002 NORTH 6TH ST
City MONROE
State LA
ZIP 71201
Phone 318 789-1773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - COUNSELING OFFICE
Lab Director CECILIA SULLIVAN

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