19D2152486 CLIA NUMBER - MATTA MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 19D2152486

Facility Name: MATTA MEDICAL CLINIC

Facility Address:
140 E 5TH STREET
NATCHITOCHES, LA
ZIP 71457
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Facility Phone Number: 318 238-5990

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1881174027

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	19D2152486
LAB Type	Physician Office
Facility Name	MATTA MEDICAL CLINIC
Street	140 E 5TH STREET
City	NATCHITOCHES
State	LA
ZIP	71457
Phone	318 238-5990
CertificateType	3
CertificateEffectiveDate	8/9/2022
CertificateExpirationDate	8/8/2024
FacilityType	PPMP

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