19D0711456 CLIA NUMBER - OUR LADY OF THE LAKE ASCENSION BLOOD GAS LAB

Laboratory Demographics

CLIA Number: 19D0711456

Facility Name: OUR LADY OF THE LAKE ASCENSION BLOOD GAS LAB

Facility Address:
1125 WEST LA HWY 30
GONZALES, LA
ZIP 70737
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Facility Phone Number: 225 647-5038

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1306899067

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	19D0711456
LAB Type	Hospital
Facility Name	OUR LADY OF THE LAKE ASCENSION BLOOD GAS LAB
Street	1125 WEST LA HWY 30
City	GONZALES
State	LA
ZIP	70737
Phone	225 647-5038
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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