19D1037737 CLIA NUMBER - DR CORWIN A THOMAS PC

Laboratory Demographics

CLIA Number: 19D1037737

Facility Name: DR CORWIN A THOMAS PC

Facility Address:
802 EAST FARREL ROAD
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 234-3163

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437357647

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	19D1037737
LAB Type	Physician Office
Facility Name	DR CORWIN A THOMAS PC
Street	802 EAST FARREL ROAD
City	LAFAYETTE
State	LA
ZIP	70508
Phone	337 234-3163
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024