19D2064041 CLIA NUMBER - EXPRESSMED

Laboratory Demographics

  • CLIA Code: 19D2064041
  • Facility Name: EXPRESSMED
  • Facility Address: 111 SAINT LOUIS STREET
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 456-5500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RAFAEL J. HIGGINBOTHAM
  • NPI Number: 1821420258
  • Taxonomy: 208D00000X - General Practice

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Community Clinic
Lab Director RAFAEL J. HIGGINBOTHAM

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