19D0460367 CLIA NUMBER - GASTROENTEROLOGY GROUP AMC

Laboratory Demographics

  • CLIA Code: 19D0460367
  • Facility Name: GASTROENTEROLOGY GROUP AMC
  • Facility Address: 131 B CHEROKEE ROSE LANE
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 871-1721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FELIX G. RABITO JR
  • NPI Number: 1245272541
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0460367
LAB Type Physician Office
Facility Name GASTROENTEROLOGY GROUP AMC
Street 131 B CHEROKEE ROSE LANE
City COVINGTON
State LA
ZIP 70433
Phone 985 871-1721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director FELIX G. RABITO JR

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This page was last updated on: 9/29/2025