19D2323697 CLIA NUMBER - CENLA VISION SOURCE

Laboratory Demographics

  • CLIA Code: 19D2323697
  • Facility Name: CENLA VISION SOURCE
  • Facility Address: 5615 JAKSON STREET EXT, BLDG B, SUITE 101
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 442-7787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAYNA J. BROWN
  • NPI Number: 1295558351
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2323697
LAB Type Physician Office
Facility Name CENLA VISION SOURCE
Street 5615 JAKSON STREET EXT, BLDG B, SUITE 101
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 442-7787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director ALAYNA J. BROWN

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