19D1095159 CLIA NUMBER - SOUTHERN UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 19D1095159
  • Facility Name: SOUTHERN UROLOGY LLC
  • Facility Address: 4940 VIDRINE ROAD
    VILLE PLATTE, LA
    ZIP 70586
  • Facility Phone: 337 506-3540
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARCELLUS E. LAHAYE MD
  • NPI Number: 1346471174
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 19D1095159
LAB Type Physician Office
Facility Name SOUTHERN UROLOGY LLC
Street 4940 VIDRINE ROAD
City VILLE PLATTE
State LA
ZIP 70586
Phone 337 506-3540
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director MARCELLUS E. LAHAYE MD

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