19D1027524 CLIA NUMBER - GENTILE PROPERTIES

Laboratory Demographics

CLIA Number: 19D1027524

Facility Name: GENTILE PROPERTIES

Facility Address:
259 GABASSE STREET
HOUMA, LA
ZIP 70360
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Facility Phone Number: 985 873-7244

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295991289

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	19D1027524
LAB Type	Physician Office
Facility Name	GENTILE PROPERTIES
Street	259 GABASSE STREET
City	HOUMA
State	LA
ZIP	70360
Phone	985 873-7244
CertificateType	3
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	PPMP

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