19D2093635 CLIA NUMBER - DAVIES FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 19D2093635
  • Facility Name: DAVIES FAMILY MEDICINE
  • Facility Address: 1327 STELLY LANE, SUITE 3
    SULPHUR, LA
    ZIP 70663
  • Facility Phone: 337 528-7316
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW T. DAVIES
  • NPI Number: 1124410998
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2093635
LAB Type Physician Office
Facility Name DAVIES FAMILY MEDICINE
Street 1327 STELLY LANE, SUITE 3
City SULPHUR
State LA
ZIP 70663
Phone 337 528-7316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Physician Office
Lab Director ANDREW T. DAVIES

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