19D1105138 CLIA NUMBER - PARTNERS IN HEALTHCARE

Laboratory Demographics

CLIA Number: 19D1105138

Facility Name: PARTNERS IN HEALTHCARE

Facility Address:
407 NORTH MAIN STREET
SAINT MARTINVILLE, LA
ZIP 70582
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Facility Phone Number: 337 344-9049

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1295069193

Taxonomy: 363LA2200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	19D1105138
LAB Type	Practitioner Other
Facility Name	PARTNERS IN HEALTHCARE
Street	407 NORTH MAIN STREET
City	SAINT MARTINVILLE
State	LA
ZIP	70582
Phone	337 344-9049
CertificateType	4
CertificateEffectiveDate	9/17/2023
CertificateExpirationDate	9/16/2025
FacilityType	Waiver

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