19D1011763 CLIA NUMBER - MEDXCEL OCCUPATIONAL MEDICINE CENTER

Laboratory Demographics

  • CLIA Code: 19D1011763
  • Facility Name: MEDXCEL OCCUPATIONAL MEDICINE CENTER
  • Facility Address: 4401 CHEMIN METARIE PARKWAY
    YOUNGSVILLE, LA
    ZIP 70592
  • Facility Phone: 337 893-0788
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WESTON P. MILLER III
  • NPI Number: 1033257423
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1011763
LAB Type Other
Facility Name MEDXCEL OCCUPATIONAL MEDICINE CENTER
Street 4401 CHEMIN METARIE PARKWAY
City YOUNGSVILLE
State LA
ZIP 70592
Phone 337 893-0788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Other
Lab Director WESTON P. MILLER III

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