19D0909170 CLIA NUMBER - ACADIANA PRACTITIONERS GASTROENTEROLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 19D0909170
  • Facility Name: ACADIANA PRACTITIONERS GASTROENTEROLOGY CLINIC
  • Facility Address: 331 SOUTH MAIN STREET
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 942-7155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUSTIN S. MILLER
  • NPI Number: 1649242611
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0909170
LAB Type Physician Office
Facility Name ACADIANA PRACTITIONERS GASTROENTEROLOGY CLINIC
Street 331 SOUTH MAIN STREET
City OPELOUSAS
State LA
ZIP 70570
Phone 337 942-7155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Physician Office
Lab Director DUSTIN S. MILLER

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