19D1076092 CLIA NUMBER - KELLY L COBB MD APMC

Laboratory Demographics

  • CLIA Code: 19D1076092
  • Facility Name: KELLY L COBB MD APMC
  • Facility Address: 605 SILVERSTONE ROAD, SUITE 100
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 266-9985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY L. COBB
  • NPI Number: 1598732349
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1076092
LAB Type Physician Office
Facility Name KELLY L COBB MD APMC
Street 605 SILVERSTONE ROAD, SUITE 100
City LAFAYETTE
State LA
ZIP 70508
Phone 337 266-9985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director KELLY L. COBB

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