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19D2159260 CLIA NUMBER - AFFINITY CLINIC AT OLIVER ROAD

Laboratory Demographics

CLIA Number: 19D2159260

Facility Name: AFFINITY CLINIC AT OLIVER ROAD

Facility Address:
920 OLIVER ROAD, SUITE A
MONROE, LA
ZIP 71201
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Facility Phone Number: 318 807-4951

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1457822991

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 19D2159260
LAB Type Physician Office
Facility Name AFFINITY CLINIC AT OLIVER ROAD
Street 920 OLIVER ROAD, SUITE A
City MONROE
State LA
ZIP 71201
Phone 318 807-4951
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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