01D0685150 CLIA NUMBER - BAYOU CLINIC INC

Laboratory Demographics

CLIA Number: 01D0685150

Facility Name: BAYOU CLINIC INC

Facility Address:
13833 TAPIA LANE
BAYOU LA BATRE, AL
ZIP 36509
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Facility Phone Number: 251 824-4985

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114996865

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0685150
LAB Type	Physician Office
Facility Name	BAYOU CLINIC INC
Street	13833 TAPIA LANE
City	BAYOU LA BATRE
State	AL
ZIP	36509
Phone	251 824-4985
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024