19D0958362 CLIA NUMBER - WILLIAM H ST MARTIN, MD

Laboratory Demographics

  • CLIA Code: 19D0958362
  • Facility Name: WILLIAM H ST MARTIN, MD
  • Facility Address: 818 VERRET STREET
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 504 857-8001
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM H. ST MARTIN MD
  • NPI Number: 1508298464
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D0958362
LAB Type Physician Office
Facility Name WILLIAM H ST MARTIN, MD
Street 818 VERRET STREET
City HOUMA
State LA
ZIP 70360
Phone 504 857-8001
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director WILLIAM H. ST MARTIN MD

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