19D2075201 CLIA NUMBER - NRMC WALK-IN CLINIC

Laboratory Demographics

CLIA Number: 19D2075201

Facility Name: NRMC WALK-IN CLINIC

Facility Address:
740 KEYSER AVENUE, SUITE E
NATCHITOCHES, LA
ZIP 71457
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Facility Phone Number: 318 238-5300

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1306233572

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 19D2075201
LAB Type Rural Health Clinic
Facility Name NRMC WALK-IN CLINIC
Street 740 KEYSER AVENUE, SUITE E
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 238-5300
CertificateType 4
CertificateEffectiveDate 3/25/2024
CertificateExpirationDate 3/24/2026
FacilityType Waiver

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