19D2320034 CLIA NUMBER - CENTER FOR ENDOCRINOLOGY & DIABETES

Laboratory Demographics

  • CLIA Code: 19D2320034
  • Facility Name: CENTER FOR ENDOCRINOLOGY & DIABETES
  • Facility Address: 2551 GREENWOOD RD SUITE 130
    SHREVEPORT, LA
    ZIP 71103
  • Facility Phone: 318 212-8627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE CHICO
  • NPI Number: 1477681385
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2320034
LAB Type Physician Office
Facility Name CENTER FOR ENDOCRINOLOGY & DIABETES
Street 2551 GREENWOOD RD SUITE 130
City SHREVEPORT
State LA
ZIP 71103
Phone 318 212-8627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director MICHELLE CHICO

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