19D2018839 CLIA NUMBER - LOURDES AFTER HOURS - CARENCRO

Laboratory Demographics

  • CLIA Code: 19D2018839
  • Facility Name: LOURDES AFTER HOURS - CARENCRO
  • Facility Address: 3824 NE EVANGELINE THRUWAY
    CARENCRO, LA
    ZIP 70520
  • Facility Phone: 337 565-2675
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: KEVIN DIBENEDETTO
  • NPI Number: 1669774923
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2018839
LAB Type Other - URGENT CARE CLINIC
Facility Name LOURDES AFTER HOURS - CARENCRO
Street 3824 NE EVANGELINE THRUWAY
City CARENCRO
State LA
ZIP 70520
Phone 337 565-2675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Other - URGENT CARE CLINIC
Lab Director KEVIN DIBENEDETTO

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