19D1090882 CLIA NUMBER - URGENT CARE OF LAFAYETTE

Laboratory Demographics

CLIA Number: 19D1090882

Facility Name: URGENT CARE OF LAFAYETTE

Facility Address:
913 SOUTH COLLEGE SUITE 203
LAFAYETTE, LA
ZIP 70503
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Facility Phone Number: 337 237-5781

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720505134

Taxonomy: 261QP3300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D1090882
LAB Type	Physician Office
Facility Name	URGENT CARE OF LAFAYETTE
Street	913 SOUTH COLLEGE SUITE 203
City	LAFAYETTE
State	LA
ZIP	70503
Phone	337 237-5781
CertificateType	4
CertificateEffectiveDate	10/21/2022
CertificateExpirationDate	10/20/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024