CLIA lab
CLIA 19D2102280: Green Clinic Physical Medicine & Rehabilitation
Ruston, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2102280 belongs to Green Clinic Physical Medicine & Rehabilitation in Ruston, LA.
Certificate of Waiver, effective September 18, 2025, expires September 17, 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 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 2015
- 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
- 19D2102280
- Lab name
- Green Clinic Physical Medicine & Rehabilitation
- Address
- 1200 S Farmerville St, Ruston, LA 71270
- Phone
- (318) 251-6372
- Fax
- (318) 251-6177
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allegiance Medical ClinicCertificate of Waiver, Rural health clinic19D2292031
- Allegiance Medical Clinic of RustonCertificate of Waiver, Rural health clinic19D2263837
- Alpine Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility19D0991896
- Bayou Dermatology Mohs LaboratoryCertificate of Compliance, Physician office19D2335633
- Biofleet Lab & Logistics LLCCertificate of Waiver, Mobile lab19D2340324
- Bobby T Ensminger MDCertificate of Waiver, Physician office19D1090069
- Coastal Urgent Care, LLCCertificate of Waiver, Other19D2157758
- Community Bridges Corporation RCRCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities19D0979584
- Community Bridges South Benton Street HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities19D1045390
Related
Questions
What is the CLIA number for Green Clinic Physical Medicine & Rehabilitation in Ruston?
19D2102280, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green Clinic Physical Medicine & Rehabilitation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2102280 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.