19D1055229 CLIA NUMBER - SUGARLAND PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 19D1055229
  • Facility Name: SUGARLAND PEDIATRICS LLC
  • Facility Address: 5642 WEST MAIN STREET
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 853-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LESLIE C. BER
  • NPI Number: 1598882151
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D1055229
LAB Type Physician Office
Facility Name SUGARLAND PEDIATRICS LLC
Street 5642 WEST MAIN STREET
City HOUMA
State LA
ZIP 70360
Phone 985 853-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director LESLIE C. BER

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This page was last updated on: 6/4/2025