19D0964787 CLIA NUMBER - KIRK E ELLIOTT

Laboratory Demographics

CLIA Number: 19D0964787

Facility Name: KIRK E ELLIOTT

Facility Address:
410 OLIVE STREET
ARNAUDVILLE, LA
ZIP 70512
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Facility Phone Number: 337 754-7254

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1639104169

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	19D0964787
LAB Type	Physician Office
Facility Name	KIRK E ELLIOTT
Street	410 OLIVE STREET
City	ARNAUDVILLE
State	LA
ZIP	70512
Phone	337 754-7254
CertificateType	3
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	PPMP

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