19D1079936 CLIA NUMBER - OUR LADY OF LOURDES REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 19D1079936
  • Facility Name: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
  • Facility Address: 4809 AMBASSADOR CAFFERY PARKWAY, SUITE 350
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: (337) 470-2131
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: BLAINE HOPPE
  • NPI Number: 1013393677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1079936
LAB Type Hospital
Facility Name OUR LADY OF LOURDES REGIONAL MEDICAL CENTER
Street 4809 AMBASSADOR CAFFERY PARKWAY, SUITE 350
City LAFAYETTE
State LA
ZIP 70508
Phone 3374702131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2026
Certificate Expiration Date 2/10/2028
Facility Type Hospital
Lab Director BLAINE HOPPE

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This page was last updated on: 5/15/2026