19D0878090 CLIA NUMBER - LAHAYE CENTER FOR ADVANCED EYE CARE

Laboratory Demographics

CLIA Number: 19D0878090

Facility Name: LAHAYE CENTER FOR ADVANCED EYE CARE

Facility Address:
201 RUE IBERVILLE SUITE 800
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 235-2149

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1154318376

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D0878090
LAB Type	Ambulatory Surgery Center
Facility Name	LAHAYE CENTER FOR ADVANCED EYE CARE
Street	201 RUE IBERVILLE SUITE 800
City	LAFAYETTE
State	LA
ZIP	70508
Phone	337 235-2149
CertificateType	4
CertificateEffectiveDate	5/29/2023
CertificateExpirationDate	5/28/2025
FacilityType	Waiver

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