19D2271425 CLIA NUMBER - ACT ONE HEALTH

Laboratory Demographics

CLIA Number: 19D2271425

Facility Name: ACT ONE HEALTH

Facility Address:
1012 SOUTH ACADIAN, SUITE 10
BATON ROUGE, LA
ZIP 70806
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Facility Phone Number: 225 281-7333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609543701

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	19D2271425
LAB Type	Physician Office
Facility Name	ACT ONE HEALTH
Street	1012 SOUTH ACADIAN, SUITE 10
City	BATON ROUGE
State	LA
ZIP	70806
Phone	225 281-7333
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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