19D1084405 CLIA NUMBER - LOURDES PHYSICIAN GROUP

Laboratory Demographics

  • CLIA Code: 19D1084405
  • Facility Name: LOURDES PHYSICIAN GROUP
  • Facility Address: 4811 AMBASSADOR CAFFERY PARKWAY, SUITE 401A
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 470-3043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK W. COUTMIER
  • NPI Number: 1437405883
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1084405
LAB Type Physician Office
Facility Name LOURDES PHYSICIAN GROUP
Street 4811 AMBASSADOR CAFFERY PARKWAY, SUITE 401A
City LAFAYETTE
State LA
ZIP 70508
Phone 337 470-3043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director FRANK W. COUTMIER

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