19D2328486 CLIA NUMBER - HER WELLNESS

Laboratory Demographics

  • CLIA Code: 19D2328486
  • Facility Name: HER WELLNESS
  • Facility Address: 725 N ASHLEY RIDGE LOOP STE 400
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 200-0020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIDGET O. LEE
  • NPI Number: 1811711302
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2328486
LAB Type Physician Office
Facility Name HER WELLNESS
Street 725 N ASHLEY RIDGE LOOP STE 400
City SHREVEPORT
State LA
ZIP 71106
Phone 318 200-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director BRIDGET O. LEE

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