19D0949720 CLIA NUMBER - MICHAEL K JUDICE, MD, LTD

Laboratory Demographics

  • CLIA Code: 19D0949720
  • Facility Name: MICHAEL K JUDICE, MD, LTD
  • Facility Address: 4630 AMBASSADOR CAFFERY PKWY SUITE 102
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 989-2322
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL K. JUDICE
  • NPI Number: 1851447593
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0949720
LAB Type Physician Office
Facility Name MICHAEL K JUDICE, MD, LTD
Street 4630 AMBASSADOR CAFFERY PKWY SUITE 102
City LAFAYETTE
State LA
ZIP 70508
Phone 337 989-2322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Physician Office
Lab Director MICHAEL K. JUDICE

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