19D0916692 CLIA NUMBER - VERMILION BEHAVIORAL HEALTH SYSTEM-NORTH

Laboratory Demographics

  • CLIA Code: 19D0916692
  • Facility Name: VERMILION BEHAVIORAL HEALTH SYSTEM-NORTH
  • Facility Address: 2520 NORTH UNIVERSITY AVENUE
    LAFAYETTE, LA
    ZIP 70507
  • Facility Phone: 337 234-5614
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: NICOLE M. HALE
  • NPI Number: 1821024563
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D0916692
LAB Type Ancillary Testing Site in Health Care Center
Facility Name VERMILION BEHAVIORAL HEALTH SYSTEM-NORTH
Street 2520 NORTH UNIVERSITY AVENUE
City LAFAYETTE
State LA
ZIP 70507
Phone 337 234-5614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NICOLE M. HALE

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