CLIA lab

CLIA 19D0677073: Booker T Washington Skilled Nursing & Rehab

Shreveport, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D0677073 belongs to Booker T Washington Skilled Nursing & Rehab in Shreveport, LA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 13, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
19D0677073
Lab name
Booker T Washington Skilled Nursing & Rehab
Address
7605 Line Avenue, Shreveport, LA 71106
Phone
(318) 219-2608
Fax
(318) 861-7685

Annual test volume the lab reported

Waived tests
40,980

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Shreveport, LA

Related

Questions

What is the CLIA number for Booker T Washington Skilled Nursing & Rehab in Shreveport?

19D0677073, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Booker T Washington Skilled Nursing & Rehab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D0677073 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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