19D1063867 CLIA NUMBER - BAYOU REGION SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 19D1063867
  • Facility Name: BAYOU REGION SURGICAL CENTER
  • Facility Address: 604 NORTH ACADIA RD STE 300
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 225 449-1244
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BARRY G. LANDRY
  • NPI Number: 1801949631
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1063867
LAB Type Ambulatory Surgery Center
Facility Name BAYOU REGION SURGICAL CENTER
Street 604 NORTH ACADIA RD STE 300
City THIBODAUX
State LA
ZIP 70301
Phone 225 449-1244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Ambulatory Surgery Center
Lab Director BARRY G. LANDRY

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