19D0724052 CLIA NUMBER - IMPERIAL HEALTH THOMAS E LEBEAU, MD

Laboratory Demographics

  • CLIA Code: 19D0724052
  • Facility Name: IMPERIAL HEALTH THOMAS E LEBEAU, MD
  • Facility Address: 771 BAYOU PINES EAST
    LAKE CHARLES, LA
    ZIP 70601
  • Facility Phone: 337 433-1212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS E. LEBEAU MD
  • NPI Number: 1124371265
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0724052
LAB Type Physician Office
Facility Name IMPERIAL HEALTH THOMAS E LEBEAU, MD
Street 771 BAYOU PINES EAST
City LAKE CHARLES
State LA
ZIP 70601
Phone 337 433-1212
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director THOMAS E. LEBEAU MD

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This page was last updated on: 3/20/2025