19D2320438 CLIA NUMBER - LOUISIANA MIND BODY & HEALTH

Laboratory Demographics

  • CLIA Code: 19D2320438
  • Facility Name: LOUISIANA MIND BODY & HEALTH
  • Facility Address: 5416 HWY 28
    PINEVILLE, LA
    ZIP 71360
  • Facility Phone: 318 202-2747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN KING
  • NPI Number: 1487046835
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2320438
LAB Type Physician Office
Facility Name LOUISIANA MIND BODY & HEALTH
Street 5416 HWY 28
City PINEVILLE
State LA
ZIP 71360
Phone 318 202-2747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director LAUREN KING

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