36D1100149 CLIA NUMBER - NICHOLAS V LANDRY DO INC DBA GALLIA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 36D1100149
  • Facility Name: NICHOLAS V LANDRY DO INC DBA GALLIA FAMILY PRACTICE
  • Facility Address: 1354 JACKSON PIKE
    GALLIPOLIS, OH
    ZIP 45631
  • Facility Phone: 740 441-9800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS LANDRY
  • NPI Number: 1992781538
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D1100149
LAB Type Physician Office
Facility Name NICHOLAS V LANDRY DO INC DBA GALLIA FAMILY PRACTICE
Street 1354 JACKSON PIKE
City GALLIPOLIS
State OH
ZIP 45631
Phone 740 441-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director NICHOLAS LANDRY

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This page was last updated on: 9/29/2025