19D0890145 CLIA NUMBER - DAVID A SISAM

Laboratory Demographics

  • CLIA Code: 19D0890145
  • Facility Name: DAVID A SISAM
  • Facility Address: 855 BELANGER STREET, SUITE 100
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 876-5451
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. SISAM
  • NPI Number: 1124194840
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0890145
LAB Type Physician Office
Facility Name DAVID A SISAM
Street 855 BELANGER STREET, SUITE 100
City HOUMA
State LA
ZIP 70360
Phone 985 876-5451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DAVID A. SISAM

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