19D2009419 CLIA NUMBER - CONSERVATIVE MEDICAL MANAGEMENT

Laboratory Demographics

  • CLIA Code: 19D2009419
  • Facility Name: CONSERVATIVE MEDICAL MANAGEMENT
  • Facility Address: 1103 KALISTE SALOOM RD, SUITE 202
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 269-6335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH T. GILLESPIE
  • NPI Number: 1376716761
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 19D2009419
LAB Type Physician Office
Facility Name CONSERVATIVE MEDICAL MANAGEMENT
Street 1103 KALISTE SALOOM RD, SUITE 202
City LAFAYETTE
State LA
ZIP 70508
Phone 337 269-6335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director JOSEPH T. GILLESPIE

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