19D2319047 CLIA NUMBER - RENEWED PATH LAB SERVICES LLC

Laboratory Demographics

  • CLIA Code: 19D2319047
  • Facility Name: RENEWED PATH LAB SERVICES LLC
  • Facility Address: 711 JOHNSON ST (REAR OFFICE)
    TALLULAH, LA
    ZIP 71282
  • Facility Phone: 318 493-1402
  • Facility Type: Other - DRUG TESTING SITE
  • Facility Type: Waiver
  • Lab Director: TAMESHA T. SIMS
  • NPI Number: 1154957272
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2319047
LAB Type Other - DRUG TESTING SITE
Facility Name RENEWED PATH LAB SERVICES LLC
Street 711 JOHNSON ST (REAR OFFICE)
City TALLULAH
State LA
ZIP 71282
Phone 318 493-1402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Other - DRUG TESTING SITE
Lab Director TAMESHA T. SIMS

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