19D2141318 CLIA NUMBER - CALCASIEU URGENT CARE

Laboratory Demographics

CLIA Number: 19D2141318

Facility Name: CALCASIEU URGENT CARE

Facility Address:
1225 N PARKERSON AVE
CROWLEY, LA
ZIP 70526
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Facility Phone Number: 931 253-1110

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598427718

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	19D2141318
LAB Type	Physician Office
Facility Name	CALCASIEU URGENT CARE
Street	1225 N PARKERSON AVE
City	CROWLEY
State	LA
ZIP	70526
Phone	931 253-1110
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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