19D2019089 CLIA NUMBER - DAVID J FOREMAN, MD

Laboratory Demographics

  • CLIA Code: 19D2019089
  • Facility Name: DAVID J FOREMAN, MD
  • Facility Address: 1039 CAMELLIA BLVD
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 237-0650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. FOREMAN
  • NPI Number: 1730158320
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 19D2019089
LAB Type Physician Office
Facility Name DAVID J FOREMAN, MD
Street 1039 CAMELLIA BLVD
City LAFAYETTE
State LA
ZIP 70508
Phone 337 237-0650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director DAVID J. FOREMAN

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