19D2132654 CLIA NUMBER - NEW ROADS COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 19D2132654

Facility Name: NEW ROADS COMMUNITY HEALTH CENTER

Facility Address:
230 ROBERTS DR, STE H
NEW ROADS, LA
ZIP 70760
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Facility Phone Number: 225 638-5879

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1053841072

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2132654
LAB Type	Federally Qualified Health Center
Facility Name	NEW ROADS COMMUNITY HEALTH CENTER
Street	230 ROBERTS DR, STE H
City	NEW ROADS
State	LA
ZIP	70760
Phone	225 638-5879
CertificateType	3
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	PPMP

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