19D1049439 CLIA NUMBER - ARTHUR A MAUTERER MD

Laboratory Demographics

  • CLIA Code: 19D1049439
  • Facility Name: ARTHUR A MAUTERER MD
  • Facility Address: 309 WALNUT STREET SUITE B
    AMITE, LA
    ZIP 70422
  • Facility Phone: 985 748-5004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARTHUR A. MAUTERER
  • NPI Number: 1215070115
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1049439
LAB Type Physician Office
Facility Name ARTHUR A MAUTERER MD
Street 309 WALNUT STREET SUITE B
City AMITE
State LA
ZIP 70422
Phone 985 748-5004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director ARTHUR A. MAUTERER

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This page was last updated on: 3/20/2025