19D2048779 CLIA NUMBER - LOURDES AFTER HOURS - BREAUX BRIDGE

Laboratory Demographics

  • CLIA Code: 19D2048779
  • Facility Name: LOURDES AFTER HOURS - BREAUX BRIDGE
  • Facility Address: 1821 REES STREET
    BREAUX BRIDGE, LA
    ZIP 70517
  • Facility Phone: 225 214-9352
  • Facility Type: Other - URGENT CARE WALKIN CLINIC
  • Facility Type: Waiver
  • Lab Director: KEVIN DIBENEDETTO
  • NPI Number: 1649297730
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2048779
LAB Type Other - URGENT CARE WALKIN CLINIC
Facility Name LOURDES AFTER HOURS - BREAUX BRIDGE
Street 1821 REES STREET
City BREAUX BRIDGE
State LA
ZIP 70517
Phone 225 214-9352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other - URGENT CARE WALKIN CLINIC
Lab Director KEVIN DIBENEDETTO

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