19D0899156 CLIA NUMBER - ST GABRIEL HEALTH CLINIC INC

Laboratory Demographics

CLIA Number: 19D0899156

Facility Name: ST GABRIEL HEALTH CLINIC INC

Facility Address:
5760 MONTICELLO STREET
SAINT GABRIEL, LA
ZIP 70776
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Facility Phone Number: 225 642-9676

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1093874000

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	19D0899156
LAB Type	Other
Facility Name	ST GABRIEL HEALTH CLINIC INC
Street	5760 MONTICELLO STREET
City	SAINT GABRIEL
State	LA
ZIP	70776
Phone	225 642-9676
CertificateType	3
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	PPMP

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