19D2267878 CLIA NUMBER - SALT & LIGHT MEDICAL SALT & LIGHT AESTHETICS INC

Laboratory Demographics

  • CLIA Code: 19D2267878
  • Facility Name: SALT & LIGHT MEDICAL SALT & LIGHT AESTHETICS INC
  • Facility Address: 223 BELL LANE SUITE 3
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 355-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LACEY DUNCAN
  • NPI Number: 1134848583
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2267878
LAB Type Physician Office
Facility Name SALT & LIGHT MEDICAL SALT & LIGHT AESTHETICS INC
Street 223 BELL LANE SUITE 3
City WEST MONROE
State LA
ZIP 71291
Phone 318 355-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director LACEY DUNCAN

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This page was last updated on: 3/20/2025