19D2098905 CLIA NUMBER - ALLEGIANCE HEALTH CENTER OF RUSTON,LLC

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Laboratory Demographics

CLIA Number: 19D2098905

Facility Name: ALLEGIANCE HEALTH CENTER OF RUSTON,LLC

Facility Address:
4402 STERLINGTON ROAD
MONROE, LA
ZIP 71203
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Facility Phone Number: 318 255-8085

Facility Type: Other - GERI-PSYCH HOSPITAL

Certificate Type: Waiver

NPI Number: 1831283670

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	19D2098905
LAB Type	Other - GERI-PSYCH HOSPITAL
Facility Name	ALLEGIANCE HEALTH CENTER OF RUSTON,LLC
Street	4402 STERLINGTON ROAD
City	MONROE
State	LA
ZIP	71203
Phone	318 255-8085
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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