19D0972224 CLIA NUMBER - VIDRINE COMMUNITY CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 19D0972224
  • Facility Name: VIDRINE COMMUNITY CLINIC, LLC
  • Facility Address: 4940 VIDRINE ROAD
    VILLE PLATTE, LA
    ZIP 70586
  • Facility Phone: 337 506-3570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE G. LAHAYE MD
  • NPI Number: 1932272150
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0972224
LAB Type Physician Office
Facility Name VIDRINE COMMUNITY CLINIC, LLC
Street 4940 VIDRINE ROAD
City VILLE PLATTE
State LA
ZIP 70586
Phone 337 506-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director WAYNE G. LAHAYE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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