CLIA lab
CLIA 19D1077682: Broadmoor Dialysis
Shreveport, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1077682 belongs to Broadmoor Dialysis in Shreveport, LA.
Certificate of Waiver, effective December 17, 2025, expires December 16, 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
- December 17, 2025
- Certificate expiration
- December 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 2007
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D1077682
- Lab name
- Broadmoor Dialysis
- Address
- 1815 E 70th Street, Shreveport, LA 71105
- Phone
- (318) 795-0572
- Fax
- (318) 797-8143
Annual test volume the lab reported
- Waived tests
- 4,992
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Broadmoor DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Shreveport, LA
- 1st Choice Medical Lab LLCCertificate of Waiver, Independent19D2344457
- A R I S E Health & WellnessCertificate of Waiver, Independent19D2331663
- Active Recovery LLCCertificate of Waiver, Comprehensive outpatient rehab facility19D2091529
- Advanced Cardiovascular Specialists, LLCCertificate of Waiver, Physician office19D2104428
- Advanced Heart and Vascular CenterCertificate of Accreditation, Ambulatory surgery center19D2142927
- Albertsons Pharmacy #0218Certificate of Waiver, Pharmacy19D1033844
- Allegiance Hospice & Palliative Care of NorthwestCertificate of Waiver, Hospice19D2308052
- Amedisys Home HealthCertificate of Waiver, Home health agency19D0711508
- Amedisys HospiceCertificate of Waiver, Hospice19D2055857
- Any Lab Test Now ShreveportCertificate of Waiver, Other19D1097788
Related
Questions
What is the CLIA number for Broadmoor Dialysis in Shreveport?
19D1077682, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broadmoor Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1077682 expire?
The CMS file lists December 16, 2027 as the certificate expiration date; the certificate took effect December 17, 2025.