19D1009094 CLIA NUMBER - REDDY FAMILY MEDICAL

Laboratory Demographics

CLIA Number: 19D1009094

Facility Name: REDDY FAMILY MEDICAL

Facility Address:
154 HIGHWAY 1008
NAPOLEONVILLE, LA
ZIP 70390
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Facility Phone Number: 985 369-1880

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124144027

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 19D1009094
LAB Type Physician Office
Facility Name REDDY FAMILY MEDICAL
Street 154 HIGHWAY 1008
City NAPOLEONVILLE
State LA
ZIP 70390
Phone 985 369-1880
CertificateType 4
CertificateEffectiveDate 2/6/2023
CertificateExpirationDate 2/5/2025
FacilityType Waiver

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