CLIA lab

CLIA 19D1044231: Green Clinic Northside

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

CLIA number 19D1044231 belongs to Green Clinic Northside in Ruston, LA.

Certificate of Waiver, effective August 15, 2025, expires August 14, 2027.

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
August 15, 2025
Certificate expiration
August 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 15, 2005
Facility type
Physician office
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
19D1044231
Lab name
Green Clinic Northside
Address
1402 Celebrity Drive, Ruston, LA 71270
Phone
(318) 255-1515
Fax
(318) 255-6590

Annual test volume the lab reported

Waived tests
925

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

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Questions

What is the CLIA number for Green Clinic Northside in Ruston?

19D1044231, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Green Clinic Northside hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D1044231 expire?

The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.

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