19D1041953 CLIA NUMBER - FRANKLIN MEDICAL CENTER RURAL HEALTH CLINIC-ST JOSEPH

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Laboratory Demographics

CLIA Number: 19D1041953

Facility Name: FRANKLIN MEDICAL CENTER RURAL HEALTH CLINIC-ST JOSEPH

Facility Address:
448 NEWTON
ST JOSEPH, LA
ZIP 71366
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Facility Phone Number: 318 766-8506

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1063466753

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1041953
LAB Type	Rural Health Clinic
Facility Name	FRANKLIN MEDICAL CENTER RURAL HEALTH CLINIC-ST JOSEPH
Street	448 NEWTON
City	ST JOSEPH
State	LA
ZIP	71366
Phone	318 766-8506
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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