19D2087147 CLIA NUMBER - FALLON MCMANUS MD

Laboratory Demographics

  • CLIA Code: 19D2087147
  • Facility Name: FALLON MCMANUS MD
  • Facility Address: 103 CENTRE SARCELLE BLVD, SUITE 506
    YOUNGSVILLE, LA
    ZIP 70592
  • Facility Phone: 337 451-4890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FALLON S. MCMANUS
  • NPI Number: 1457593618
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2087147
LAB Type Physician Office
Facility Name FALLON MCMANUS MD
Street 103 CENTRE SARCELLE BLVD, SUITE 506
City YOUNGSVILLE
State LA
ZIP 70592
Phone 337 451-4890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director FALLON S. MCMANUS

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This page was last updated on: 9/29/2025