CLIA lab
CLIA 19D2050553: Southerncare, Inc - Shreveport
Bossier City, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2050553 belongs to Southerncare, Inc - Shreveport in Bossier City, LA.
Certificate of Waiver, effective November 30, 2024, expires November 29, 2026.
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
- November 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 2012
- Facility type
- Hospice
- 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
- 19D2050553
- Lab name
- Southerncare, Inc - Shreveport
- Address
- 590 Boardwalk Blvd, Suite BO-590, Bossier City, LA 71111
- Phone
- (704) 664-2876
- Fax
- (704) 664-1306
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- GentivaCMS Care Compare ratings for the facility at the same street address
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- Bossier City Fire Department EMSCertificate of Waiver, Other19D0892916
- Bossier Family Medicine LLCCertificate of Waiver, Physician office19D2304352
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- Bossier Multispecialty ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic19D2241943
Related
Questions
What is the CLIA number for Southerncare, Inc - Shreveport in Bossier City?
19D2050553, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southerncare, Inc - Shreveport hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2050553 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.