19D0714664 CLIA NUMBER - FAMILY MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 19D0714664
  • Facility Name: FAMILY MEDICINE ASSOCIATES
  • Facility Address: 105 N HOSPITAL DRIVE
    OAKDALE, LA
    ZIP 71463
  • Facility Phone: 318 335-4320
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: THOMAS J. DAVIS
  • NPI Number: 1548320161
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0714664
LAB Type Rural Health Clinic
Facility Name FAMILY MEDICINE ASSOCIATES
Street 105 N HOSPITAL DRIVE
City OAKDALE
State LA
ZIP 71463
Phone 318 335-4320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director THOMAS J. DAVIS

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