19D2223282 CLIA NUMBER - CALCASIEU URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 19D2223282

Facility Name: CALCASIEU URGENT CARE, LLC

Facility Address:
280-A REES STREET
BREAUX BRIDGE, LA
ZIP 70517
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Facility Phone Number: 337 294-0701

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962169169

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2223282
LAB Type	Physician Office
Facility Name	CALCASIEU URGENT CARE, LLC
Street	280-A REES STREET
City	BREAUX BRIDGE
State	LA
ZIP	70517
Phone	337 294-0701
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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