19D2021331 CLIA NUMBER - CARDIOVASCULAR INSTITUTE OF THE SOUTH - LAFAYETTE GENERAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 19D2021331
  • Facility Name: CARDIOVASCULAR INSTITUTE OF THE SOUTH - LAFAYETTE GENERAL MEDICAL CENTER
  • Facility Address: 441 HEYMANN BLVD
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 289-8429
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOSE CHEERAN
  • NPI Number: 1770096273
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2021331
LAB Type Physician Office
Facility Name CARDIOVASCULAR INSTITUTE OF THE SOUTH - LAFAYETTE GENERAL MEDICAL CENTER
Street 441 HEYMANN BLVD
City LAFAYETTE
State LA
ZIP 70503
Phone 337 289-8429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director BOSE CHEERAN

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