19D0889586 CLIA NUMBER - REDDY FAMILY MEDICAL CLINIC-WHITE CASTLE

Laboratory Demographics

  • CLIA Code: 19D0889586
  • Facility Name: REDDY FAMILY MEDICAL CLINIC-WHITE CASTLE
  • Facility Address: 32985 BOWIE STREET
    WHITE CASTLE, LA
    ZIP 70788
  • Facility Phone: 225 545-3631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAGARATNA C. REDDY
  • NPI Number: 1790939122
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0889586
LAB Type Physician Office
Facility Name REDDY FAMILY MEDICAL CLINIC-WHITE CASTLE
Street 32985 BOWIE STREET
City WHITE CASTLE
State LA
ZIP 70788
Phone 225 545-3631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director NAGARATNA C. REDDY

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This page was last updated on: 3/20/2025