19D0460952 CLIA NUMBER - HAMILTON MEDICAL GROUP - MAIN

Laboratory Demographics

  • CLIA Code: 19D0460952
  • Facility Name: HAMILTON MEDICAL GROUP - MAIN
  • Facility Address: 200 A ENERGY PKWY
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 988-8762
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEY WEST
  • NPI Number: 1124026919
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0460952
LAB Type Physician Office
Facility Name HAMILTON MEDICAL GROUP - MAIN
Street 200 A ENERGY PKWY
City LAFAYETTE
State LA
ZIP 70508
Phone 337 988-8762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Physician Office
Lab Director ASHLEY WEST

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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