19D0939264 CLIA NUMBER - OCCUPATIONAL MEDICINE SERVICES

Laboratory Demographics

CLIA Number: 19D0939264

Facility Name: OCCUPATIONAL MEDICINE SERVICES

Facility Address:
144 VALHI LAGOON CROSSING
HOUMA, LA
ZIP 70360
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Facility Phone Number: 985 223-0032

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639587710

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	19D0939264
LAB Type	Physician Office
Facility Name	OCCUPATIONAL MEDICINE SERVICES
Street	144 VALHI LAGOON CROSSING
City	HOUMA
State	LA
ZIP	70360
Phone	985 223-0032
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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