19D0990629 CLIA NUMBER - LOUISIANA HEALTHCARE ASSOCIATES

Laboratory Demographics

CLIA Number: 19D0990629

Facility Name: LOUISIANA HEALTHCARE ASSOCIATES

Facility Address:
71207 HIGHWAY 21
COVINGTON, LA
ZIP 70433
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Facility Phone Number: 985 892-6811

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063596922

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	19D0990629
LAB Type	Physician Office
Facility Name	LOUISIANA HEALTHCARE ASSOCIATES
Street	71207 HIGHWAY 21
City	COVINGTON
State	LA
ZIP	70433
Phone	985 892-6811
CertificateType	3
CertificateEffectiveDate	4/13/2024
CertificateExpirationDate	4/12/2026
FacilityType	PPMP

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