19D0955798 CLIA NUMBER - PARK PLACE SURGICAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 19D0955798
  • Facility Name: PARK PLACE SURGICAL HOSPITAL
  • Facility Address: 4811 AMBASSADOR CAFFERY, SUITE 100
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 237-8119
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANJIV JINDIA MD
  • NPI Number: 1215996632
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D0955798
LAB Type Ambulatory Surgery Center
Facility Name PARK PLACE SURGICAL HOSPITAL
Street 4811 AMBASSADOR CAFFERY, SUITE 100
City LAFAYETTE
State LA
ZIP 70508
Phone 337 237-8119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulatory Surgery Center
Lab Director SANJIV JINDIA MD

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