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Organization

COMMUNITY REFERENCE LAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKOTA ROBINSON (CFO)
(318) 375-4097
Entity
Organization

Contact information

Practice address
815 S PINE ST, VIVIAN, LA 71082-3353
(318) 375-3235
Mailing address
815 S PINE ST, VIVIAN, LA 71082-3353

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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