19D0937569 CLIA NUMBER - FAMILY CLINIC OF CROWLEY THE

Laboratory Demographics

CLIA Number: 19D0937569

Facility Name: FAMILY CLINIC OF CROWLEY THE

Facility Address:
345 ODDFELLOWS ROAD
CROWLEY, LA
ZIP 70526
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Facility Phone Number: 337 783-7004

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1679954986

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 19D0937569
LAB Type Physician Office
Facility Name FAMILY CLINIC OF CROWLEY THE
Street 345 ODDFELLOWS ROAD
City CROWLEY
State LA
ZIP 70526
Phone 337 783-7004
CertificateType 3
CertificateEffectiveDate 9/17/2022
CertificateExpirationDate 9/16/2024
FacilityType PPMP

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