19D0461924 CLIA NUMBER - DE QUINCY MEMORIAL HOSPITAL

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Laboratory Demographics

CLIA Number: 19D0461924

Facility Name: DE QUINCY MEMORIAL HOSPITAL

Facility Address:
110 WEST 4TH STREET
DEQUINCY, LA
ZIP 70633
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Facility Phone Number: 337 786-1200

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1518960806

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	19D0461924
LAB Type	Hospital
Facility Name	DE QUINCY MEMORIAL HOSPITAL
Street	110 WEST 4TH STREET
City	DEQUINCY
State	LA
ZIP	70633
Phone	337 786-1200
CertificateType	1
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Accreditation

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