19D2145237 CLIA NUMBER - BASILE FAMILY HEALTHCARE

Laboratory Demographics

CLIA Number: 19D2145237

Facility Name: BASILE FAMILY HEALTHCARE

Facility Address:
2932 STAGG AVE, SUITE A
BASILE, LA
ZIP 70515
Get Directions

Facility Phone Number: 337 432-5552

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225689821

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2145237
LAB Type	Physician Office
Facility Name	BASILE FAMILY HEALTHCARE
Street	2932 STAGG AVE, SUITE A
City	BASILE
State	LA
ZIP	70515
Phone	337 432-5552
CertificateType	4
CertificateEffectiveDate	3/5/2024
CertificateExpirationDate	3/4/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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