19D2100677 CLIA NUMBER - FAMILY MEDICINE SPECIALISTS

Laboratory Demographics

CLIA Number: 19D2100677

Facility Name: FAMILY MEDICINE SPECIALISTS

Facility Address:
1890 W GAUTHIER ST, SUITE 155
LAKE CHARLES, LA
ZIP 70605
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Facility Phone Number: 337 480-5550

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235281239

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	19D2100677
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE SPECIALISTS
Street	1890 W GAUTHIER ST, SUITE 155
City	LAKE CHARLES
State	LA
ZIP	70605
Phone	337 480-5550
CertificateType	4
CertificateEffectiveDate	8/19/2023
CertificateExpirationDate	8/18/2025
FacilityType	Waiver

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