19D0723902 CLIA NUMBER - ORTEGO HEALTHCARE, LLC

Laboratory Demographics

CLIA Number: 19D0723902

Facility Name: ORTEGO HEALTHCARE, LLC

Facility Address:
2949 SOUTH UNION STREET
OPELOUSAS, LA
ZIP 70570
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Facility Phone Number: 337 948-9606

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750931945

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 19D0723902
LAB Type Physician Office
Facility Name ORTEGO HEALTHCARE, LLC
Street 2949 SOUTH UNION STREET
City OPELOUSAS
State LA
ZIP 70570
Phone 337 948-9606
CertificateType 4
CertificateEffectiveDate 3/25/2024
CertificateExpirationDate 3/24/2026
FacilityType Waiver

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