19D1069823 CLIA NUMBER - WK OIL CITY MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 19D1069823

Facility Name: WK OIL CITY MEDICAL CLINIC

Facility Address:
103 SOUTH HWY 1
OIL CITY, LA
ZIP 71061
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Facility Phone Number: 318 995-6504

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1588877179

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	19D1069823
LAB Type	Physician Office
Facility Name	WK OIL CITY MEDICAL CLINIC
Street	103 SOUTH HWY 1
City	OIL CITY
State	LA
ZIP	71061
Phone	318 995-6504
CertificateType	3
CertificateEffectiveDate	10/15/2022
CertificateExpirationDate	10/14/2024
FacilityType	PPMP

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