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19D2171053 CLIA NUMBER - LAGNIAPPE CENTER OCHSNER URGENT CARE & OCCUPATIONAL HEALTH

Laboratory Demographics

CLIA Number: 19D2171053

Facility Name: LAGNIAPPE CENTER OCHSNER URGENT CARE & OCCUPATIONAL HEALTH

Facility Address:
14601 AIRLINE HIGHWAY, SUITE 103
GONZALES, LA
ZIP 70737
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Facility Phone Number: 225 236-5970

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356743751

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 19D2171053
LAB Type Physician Office
Facility Name LAGNIAPPE CENTER OCHSNER URGENT CARE & OCCUPATIONAL HEALTH
Street 14601 AIRLINE HIGHWAY, SUITE 103
City GONZALES
State LA
ZIP 70737
Phone 225 236-5970
CertificateType 4
CertificateEffectiveDate 8/26/2023
CertificateExpirationDate 8/25/2025
FacilityType Waiver

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