19D0926271 CLIA NUMBER - IBERIA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D0926271
  • Facility Name: IBERIA PEDIATRICS
  • Facility Address: 295 INDEST STREET
    NEW IBERIA, LA
    ZIP 70563
  • Facility Phone: 337 365-0268
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNZIE E. BOUDREAUX
  • NPI Number: 1205213949
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0926271
LAB Type Physician Office
Facility Name IBERIA PEDIATRICS
Street 295 INDEST STREET
City NEW IBERIA
State LA
ZIP 70563
Phone 337 365-0268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director LYNZIE E. BOUDREAUX

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