19D2036694 CLIA NUMBER - JASON D LANDRY MD LLC LAFAYETTE FOUNDATION CLINIC, INC

Laboratory Demographics

  • CLIA Code: 19D2036694
  • Facility Name: JASON D LANDRY MD LLC LAFAYETTE FOUNDATION CLINIC, INC
  • Facility Address: 117 CAILLOUET PL
    LAFAYETTE, LA
    ZIP 70501
  • Facility Phone: 337 988-9737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON D. LANDRY
  • NPI Number: 1114135829
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2036694
LAB Type Physician Office
Facility Name JASON D LANDRY MD LLC LAFAYETTE FOUNDATION CLINIC, INC
Street 117 CAILLOUET PL
City LAFAYETTE
State LA
ZIP 70501
Phone 337 988-9737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director JASON D. LANDRY

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