Healther Providers Data Logo

19D2055729 CLIA NUMBER - MINUTEMED WALK IN CLINIC, LLC

Laboratory Demographics

CLIA Number: 19D2055729

Facility Name: MINUTEMED WALK IN CLINIC, LLC

Facility Address:
3621 AMBASSADOR CAFFERY, SUITE 100
LAFAYETTE, LA
ZIP 70503
Get Directions

Facility Phone Number: 225 572-3706

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1831645191

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 19D2055729
LAB Type Physician Office
Facility Name MINUTEMED WALK IN CLINIC, LLC
Street 3621 AMBASSADOR CAFFERY, SUITE 100
City LAFAYETTE
State LA
ZIP 70503
Phone 225 572-3706
CertificateType 4
CertificateEffectiveDate 3/15/2023
CertificateExpirationDate 3/14/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024