19D1104011 CLIA NUMBER - RAYVILLE FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 19D1104011
  • Facility Name: RAYVILLE FAMILY CLINIC
  • Facility Address: 1962 JULIA STREET
    RAYVILLE, LA
    ZIP 71269
  • Facility Phone: 318 728-8833
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRI H. SYLVESTRI
  • NPI Number: 1366672016
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1104011
LAB Type Physician Office
Facility Name RAYVILLE FAMILY CLINIC
Street 1962 JULIA STREET
City RAYVILLE
State LA
ZIP 71269
Phone 318 728-8833
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2023
Certificate Expiration Date 8/23/2025
Facility Type Physician Office
Lab Director TERRI H. SYLVESTRI

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This page was last updated on: 6/4/2025