CLIA lab

CLIA 19D1045390: Community Bridges South Benton Street Home

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

CLIA number 19D1045390 belongs to Community Bridges South Benton Street Home in Ruston, LA.

Certificate of Waiver, effective September 14, 2025, expires September 13, 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
September 14, 2025
Certificate expiration
September 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 14, 2005
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
19D1045390
Lab name
Community Bridges South Benton Street Home
Address
1400 Benton Street, Ruston, LA 71270
Phone
(318) 255-5722
Fax
(318) 255-8233

Annual test volume the lab reported

Waived tests
365

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 Community Bridges South Benton Street Home in Ruston?

19D1045390, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Community Bridges South Benton Street Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D1045390 expire?

The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.

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