19D1002256 CLIA NUMBER - ABBEVILLE GENERAL HOSPITAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D1002256
  • Facility Name: ABBEVILLE GENERAL HOSPITAL CLINIC
  • Facility Address: 2419 ALONZO STREET
    ABBEVILLE, LA
    ZIP 70510
  • Facility Phone: (337) 893-5466
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MANDY L. BOUDREAUX, MD
  • NPI Number: 1619458247
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1002256
LAB Type Community Clinic
Facility Name ABBEVILLE GENERAL HOSPITAL CLINIC
Street 2419 ALONZO STREET
City ABBEVILLE
State LA
ZIP 70510
Phone 3378935466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Community Clinic
Lab Director MANDY L. BOUDREAUX, MD

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This page was last updated on: 5/18/2026