19D1095038 CLIA NUMBER - TCHEFUNCTA URGENT CARE, INC

Laboratory Demographics

CLIA Number: 19D1095038

Facility Name: TCHEFUNCTA URGENT CARE, INC

Facility Address:
614 W 11TH AVE
COVINGTON, LA
ZIP 70433
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Facility Phone Number: 985 809-8868

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346493525

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1095038
LAB Type	Physician Office
Facility Name	TCHEFUNCTA URGENT CARE, INC
Street	614 W 11TH AVE
City	COVINGTON
State	LA
ZIP	70433
Phone	985 809-8868
CertificateType	4
CertificateEffectiveDate	3/18/2024
CertificateExpirationDate	3/17/2026
FacilityType	Waiver

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