19D0983727 CLIA NUMBER - BELLE CHASSE CHC ACCESS HEALTH LOUISIANA

Laboratory Demographics

CLIA Number: 19D0983727

Facility Name: BELLE CHASSE CHC ACCESS HEALTH LOUISIANA

Facility Address:
8200 HIGHWAY 23
BELLE CHASSE, LA
ZIP 70037
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Facility Phone Number: 504 398-1100

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1619233814

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D0983727
LAB Type	Federally Qualified Health Center
Facility Name	BELLE CHASSE CHC ACCESS HEALTH LOUISIANA
Street	8200 HIGHWAY 23
City	BELLE CHASSE
State	LA
ZIP	70037
Phone	504 398-1100
CertificateType	4
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	Waiver

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