19D1001324 CLIA NUMBER - LEANDRE W ODOM, DO FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 19D1001324
  • Facility Name: LEANDRE W ODOM, DO FAMILY PRACTICE
  • Facility Address: 2313 EAST MAIN STREET, SUITE B
    NEW IBERIA, LA
    ZIP 70560
  • Facility Phone: 337 560-5323
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LEANDARE W. ODOM
  • NPI Number: 1003846809
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1001324
LAB Type Physician Office
Facility Name LEANDRE W ODOM, DO FAMILY PRACTICE
Street 2313 EAST MAIN STREET, SUITE B
City NEW IBERIA
State LA
ZIP 70560
Phone 337 560-5323
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director LEANDARE W. ODOM

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