19D1079936 CLIA NUMBER - LOURDES IMAGING

Laboratory Demographics

  • CLIA Code: 19D1079936
  • Facility Name: LOURDES IMAGING
  • Facility Address: 4809 AMBASSADOR CAFFERY PARKWAY, SUITE 350
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 470-2131
  • Facility Type: Other - OUTPATIENT IMAGING
  • Facility Type: Waiver
  • Lab Director: PAUL BILLEAUD
  • NPI Number: 1801383245
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 19D1079936
LAB Type Other - OUTPATIENT IMAGING
Facility Name LOURDES IMAGING
Street 4809 AMBASSADOR CAFFERY PARKWAY, SUITE 350
City LAFAYETTE
State LA
ZIP 70508
Phone 337 470-2131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Other - OUTPATIENT IMAGING
Lab Director PAUL BILLEAUD

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This page was last updated on: 3/20/2025