19D2064041 CLIA NUMBER - EXPRESSMED

Home > CLIA Lookup > 19D2064041

Laboratory Demographics

CLIA Number: 19D2064041

Facility Name: EXPRESSMED

Facility Address:
111 SAINT LOUIS STREET
LAFAYETTE, LA
ZIP 70506
Get Directions

Facility Phone Number: 337 456-5500

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1821420258

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	19D2064041
LAB Type	Community Clinic
Facility Name	EXPRESSMED
Street	111 SAINT LOUIS STREET
City	LAFAYETTE
State	LA
ZIP	70506
Phone	337 456-5500
CertificateType	4
CertificateEffectiveDate	8/13/2023
CertificateExpirationDate	8/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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