19D2259423 CLIA NUMBER - SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC

Laboratory Demographics

CLIA Number: 19D2259423

Facility Name: SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC

Facility Address:
555 LAKES BLVD
BREAUX BRIDGE, LA
ZIP 70517
Get Directions

Facility Phone Number: 337 332-3971

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619618964

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2259423
LAB Type	Physician Office
Facility Name	SUNSHINE PEDIATRIC AND FAMILY CLINIC LLC
Street	555 LAKES BLVD
City	BREAUX BRIDGE
State	LA
ZIP	70517
Phone	337 332-3971
CertificateType	4
CertificateEffectiveDate	5/5/2024
CertificateExpirationDate	5/4/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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