INDEPENDENCE FAMILY CLINIC LLC
NPI 1922876960
Clinic/Center - Rural Health in Independence, LA

Active since December 19, 2023CLIA 19D2298923 · Waiver
312 E RAILROAD AVE, INDEPENDENCE, LA 70443(985) 878-4183 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independence Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE FAMILY CLINIC LLC (NPI 1922876960) is a healthcare organization registered as a rural health in Independence, Louisiana and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Bryan Dale Tate, Manager, as its authorized official.

NPPES Registry Identity

NPI1922876960
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameINDEPENDENCE FAMILY CLINIC LLC
Location Address312 E RAILROAD AVEIndependence, LA 70443-2710
Mailing Address312 E Railroad AveIndependence, LA 70443-2710 · (985) 878-4183
Organization SubpartNo
Authorized OfficialBryan Dale TateManager · (985) 878-4183
Enumeration DateDecember 19, 2023
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1922876960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
312 E RAILROAD AVE, Independence, LA 70443

Other Names 1

Doing Business AsIndependence Family Clinic Llc

Accepted Insurance

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 19D2298923

Independence Family Clinic LLC · Independence, LA
Active · expires Feb 9, 2028
CLIA Number19D2298923
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorBryan D. Tate Jr
Laboratory Phone(985) 878-4183
Laboratory LocationIndependence Family Clinic LLC312 E Railroad Avenue, Independence, LA 70443
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
312 E RAILROAD AVE
INDEPENDENCE, LA 70443
Nurse Practitioner
312 E RAILROAD AVE
INDEPENDENCE, LA 70443

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 Independence Family Clinic LLC's NPI number?

The NPI number for Independence Family Clinic LLC is 1922876960. It was assigned to this organization in the NPPES registry on December 19, 2023.

Where is Independence Family Clinic LLC located?

Independence Family Clinic LLC is located at 312 E Railroad Ave, Independence, LA 70443. The listed phone number is (985) 878-4183.

What is Independence Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Independence Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2298923) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Independence Family Clinic LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Independence Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independence Family Clinic LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.