19D2230189 CLIA NUMBER - LECOMPTE FAMILY CARE CENTER

Laboratory Demographics

CLIA Number: 19D2230189

Facility Name: LECOMPTE FAMILY CARE CENTER

Facility Address:
1610 WATER STREET
LECOMPTE, LA
ZIP 71346
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Facility Phone Number: 318 406-8010

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1912598418

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2230189
LAB Type	Rural Health Clinic
Facility Name	LECOMPTE FAMILY CARE CENTER
Street	1610 WATER STREET
City	LECOMPTE
State	LA
ZIP	71346
Phone	318 406-8010
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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