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19D2054631 CLIA NUMBER - THE CLINIC AT VILLAS AT ANGEL POINT AM HEALTH SERVICES, LLC

Laboratory Demographics

CLIA Number: 19D2054631

Facility Name: THE CLINIC AT VILLAS AT ANGEL POINT AM HEALTH SERVICES, LLC

Facility Address:
323 PATTERSON STREET, BUILDING #12
LAFAYETTE, LA
ZIP 70501
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Facility Phone Number: 337 269-1460

Facility Type: Practitioner Other

Certificate Type: Microscopy
NPI Number: 1497084743

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 19D2054631
LAB Type Practitioner Other
Facility Name THE CLINIC AT VILLAS AT ANGEL POINT AM HEALTH SERVICES, LLC
Street 323 PATTERSON STREET, BUILDING #12
City LAFAYETTE
State LA
ZIP 70501
Phone 337 269-1460
CertificateType 3
CertificateEffectiveDate 2/25/2023
CertificateExpirationDate 2/24/2025
FacilityType PPMP

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