19D2068523 CLIA NUMBER - WOMEN'S HEALTHCARE OBGYN PRACTICE

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Laboratory Demographics

CLIA Number: 19D2068523

Facility Name: WOMEN'S HEALTHCARE OBGYN PRACTICE

Facility Address:
1420 PETERMAN DRIVE
ALEXANDRIA, LA
ZIP 71301
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Facility Phone Number: 318 335-3830

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548491400

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	19D2068523
LAB Type	Physician Office
Facility Name	WOMEN'S HEALTHCARE OBGYN PRACTICE
Street	1420 PETERMAN DRIVE
City	ALEXANDRIA
State	LA
ZIP	71301
Phone	318 335-3830
CertificateType	4
CertificateEffectiveDate	11/5/2023
CertificateExpirationDate	11/4/2025
FacilityType	Waiver

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