19D0933530 CLIA NUMBER - LOUISIANA UROLOGY

Laboratory Demographics

CLIA Number: 19D0933530

Facility Name: LOUISIANA UROLOGY

Facility Address:
230 ROBERT DRIVE, SUITE A
NEW ROADS, LA
ZIP 70760
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Facility Phone Number: 225 638-6331

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1730407966

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D0933530
LAB Type	Physician Office
Facility Name	LOUISIANA UROLOGY
Street	230 ROBERT DRIVE, SUITE A
City	NEW ROADS
State	LA
ZIP	70760
Phone	225 638-6331
CertificateType	3
CertificateEffectiveDate	9/15/2023
CertificateExpirationDate	9/14/2025
FacilityType	PPMP

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