19D0876589 CLIA NUMBER - ACADIANA RENAL PHYSICIANS AMC

Laboratory Demographics

  • CLIA Code: 19D0876589
  • Facility Name: ACADIANA RENAL PHYSICIANS AMC
  • Facility Address: 300 WEST ST MARY BOULEVARD
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 233-1542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAXIMO B. LAMARCHE
  • NPI Number: 1588014864
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0876589
LAB Type Physician Office
Facility Name ACADIANA RENAL PHYSICIANS AMC
Street 300 WEST ST MARY BOULEVARD
City LAFAYETTE
State LA
ZIP 70506
Phone 337 233-1542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director MAXIMO B. LAMARCHE

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