19D2211970 CLIA NUMBER - ALLEN & RILEY HEALTHCARE SERVICES LLC

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Laboratory Demographics

CLIA Number: 19D2211970

Facility Name: ALLEN & RILEY HEALTHCARE SERVICES LLC

Facility Address:
501 RUE DE SANTE, STE 2
LAPLACE, LA
ZIP 70068
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Facility Phone Number: 985 359-4046

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1457938391

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	19D2211970
LAB Type	Practitioner Other
Facility Name	ALLEN & RILEY HEALTHCARE SERVICES LLC
Street	501 RUE DE SANTE, STE 2
City	LAPLACE
State	LA
ZIP	70068
Phone	985 359-4046
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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