19D2320895 CLIA NUMBER - GRACE 4 WOMEN, LLC RESILIENCE RECOVERY

Laboratory Demographics

  • CLIA Code: 19D2320895
  • Facility Name: GRACE 4 WOMEN, LLC RESILIENCE RECOVERY
  • Facility Address: 1205 ROYAL AVE
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 654-4075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RHONDA A. BEARD
  • NPI Number: 1962199265
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2320895
LAB Type Physician Office
Facility Name GRACE 4 WOMEN, LLC RESILIENCE RECOVERY
Street 1205 ROYAL AVE
City MONROE
State LA
ZIP 71201
Phone 318 654-4075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director RHONDA A. BEARD

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