19D2038487 CLIA NUMBER - SOUTHSTAR URGENT CARE-IBERIA #1 LA#1

Laboratory Demographics

  • CLIA Code: 19D2038487
  • Facility Name: SOUTHSTAR URGENT CARE-IBERIA #1 LA#1
  • Facility Address: 1110 EAST ST PETER STREEET
    NEW IBERIA, LA
    ZIP 70560
  • Facility Phone: 337 852-9530
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JAMES RUNNELS
  • NPI Number: 1467910141
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2038487
LAB Type Other - URGENT CARE
Facility Name SOUTHSTAR URGENT CARE-IBERIA #1 LA#1
Street 1110 EAST ST PETER STREEET
City NEW IBERIA
State LA
ZIP 70560
Phone 337 852-9530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Other - URGENT CARE
Lab Director JAMES RUNNELS

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