19D2329420 CLIA NUMBER - CLINTON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 19D2329420
  • Facility Name: CLINTON FAMILY PRACTICE
  • Facility Address: 10793 PLANK ROAD
    CLINTON, LA
    ZIP 70722
  • Facility Phone: 225 522-3410
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NICOLE M. JARREAU
  • NPI Number: 1790679579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2329420
LAB Type Practitioner Other
Facility Name CLINTON FAMILY PRACTICE
Street 10793 PLANK ROAD
City CLINTON
State LA
ZIP 70722
Phone 225 522-3410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Practitioner Other
Lab Director NICOLE M. JARREAU

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