19D2033306 CLIA NUMBER - Family Care Clinic

Laboratory Demographics

CLIA Number:
19D2033306

Facility Name:
Family Care Clinic

Facility Address:
107 Lela St
Mangham, LA
ZIP 71259

Facility Phone Number:
(318) 248-4100

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

Map - Location of Facility

CLIA Record

No. Field Name Field Value
1 CLIA Number 19D2033306
2 LAB Type PHYSICIAN OFFICE
3 Facility Name Family Care Clinic
4 Street 107 Lela St
5 City Mangham
6 State LA
7 ZIP 71259
8 Phone 3182484100

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This page was last updated on: 2/18/2014