19D2312519 CLIA NUMBER - O'NEAL DIRECT HEALTH

Laboratory Demographics

  • CLIA Code: 19D2312519
  • Facility Name: O'NEAL DIRECT HEALTH
  • Facility Address: 818 MONTROSE DR, SUITE B
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 337 302-5453
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER C. ONEAL
  • NPI Number: 1720974470
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2312519
LAB Type Physician Office
Facility Name O'NEAL DIRECT HEALTH
Street 818 MONTROSE DR, SUITE B
City SHREVEPORT
State LA
ZIP 71106
Phone 337 302-5453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director JENNIFER C. ONEAL

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