HOLLIWAY PEDIATRIC CLINIC
NPI 1891833869
Pediatrics in Shreveport, LA
About Holliway Pediatric Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLIWAY PEDIATRIC CLINIC (NPI 1891833869) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Brondwyn Ann Holliway, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D0874796
Holliway Pediatrics Clinic · Shreveport, LAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Holliway Medical Clinic LLC's NPI number?
The NPI number for Holliway Medical Clinic LLC is 1891833869. It was assigned to this organization in the NPPES registry on February 2, 2007. The provider is also known as Holliway Pediatric Clinic.
Where is Holliway Medical Clinic LLC located?
Holliway Medical Clinic LLC is located at 3824 Hearne Ave, Shreveport, LA 71103. The listed phone number is (318) 635-8606.
What is Holliway Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Does Holliway Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0874796) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Holliway Medical Clinic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Holliway Pediatric Clinic · NPI 1891833869
Pediatrics organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1891833869 (Entity type: Organization)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Holliway Medical Clinic Llc
- **Organization subpart:** No
- **Authorized official:** Brondwyn Holliway, PHYSICIAN
## Practice location
- **Address:** 3824 HEARNE AVE, Shreveport, LA 71103
- **Phone:** (318) 635-8606 · **Fax:** (318) 635-1265
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 1449423 (LA); Medicaid 1966207 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891833869) · Data from the CMS NPPES public registry.