19D1029801 CLIA NUMBER - TECHE OCCUPATIONAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 19D1029801
  • Facility Name: TECHE OCCUPATIONAL MEDICINE CLINIC
  • Facility Address: 510 JEFFERSON TERRACE BLVD
    NEW IBERIA, LA
    ZIP 70560
  • Facility Phone: 337 560-0931
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: DOUGLAS A. BERNARD
  • NPI Number: 1932231065
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1029801
LAB Type Industrial
Facility Name TECHE OCCUPATIONAL MEDICINE CLINIC
Street 510 JEFFERSON TERRACE BLVD
City NEW IBERIA
State LA
ZIP 70560
Phone 337 560-0931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Industrial
Lab Director DOUGLAS A. BERNARD

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