19D2325915 CLIA NUMBER - FREEDOM RECOVERY BOSSIER IOP

Laboratory Demographics

  • CLIA Code: 19D2325915
  • Facility Name: FREEDOM RECOVERY BOSSIER IOP
  • Facility Address: 1007 GOULD DR., BLDG. #1, SUITE #2
    BOSSIER CITY, LA
    ZIP 71111
  • Facility Phone: 318 570-5907
  • Facility Type: Other - OUTPATIENT CLINIC - SUD
  • Facility Type: Waiver
  • Lab Director: KAREN GEORGE
  • NPI Number: 1982493698
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2325915
LAB Type Other - OUTPATIENT CLINIC - SUD
Facility Name FREEDOM RECOVERY BOSSIER IOP
Street 1007 GOULD DR., BLDG. #1, SUITE #2
City BOSSIER CITY
State LA
ZIP 71111
Phone 318 570-5907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Other - OUTPATIENT CLINIC - SUD
Lab Director KAREN GEORGE

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