19D0901109 CLIA NUMBER - LAFOURCHE HOME FOR THE AGED & INFIRM

Laboratory Demographics

  • CLIA Code: 19D0901109
  • Facility Name: LAFOURCHE HOME FOR THE AGED & INFIRM
  • Facility Address: 1002 TIGER DRIVE
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 504 447-2205
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANN H. HOWELL
  • NPI Number: 1598046740
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0901109
LAB Type Other
Facility Name LAFOURCHE HOME FOR THE AGED & INFIRM
Street 1002 TIGER DRIVE
City THIBODAUX
State LA
ZIP 70301
Phone 504 447-2205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other
Lab Director ANN H. HOWELL

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