19D2072620 CLIA NUMBER - ACADIANA CENTER , LLC

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Laboratory Demographics

CLIA Number: 19D2072620

Facility Name: ACADIANA CENTER , LLC

Facility Address:
2501 WEST PINHOOK ROAD
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 269-0136

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669598322

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	19D2072620
LAB Type	Physician Office
Facility Name	ACADIANA CENTER , LLC
Street	2501 WEST PINHOOK ROAD
City	LAFAYETTE
State	LA
ZIP	70508
Phone	337 269-0136
CertificateType	4
CertificateEffectiveDate	2/3/2024
CertificateExpirationDate	2/2/2026
FacilityType	Waiver

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