19D2079393 CLIA NUMBER - PHYSICIANS GROUP LABORATORIES-HOUMA

Laboratory Demographics

  • CLIA Code: 19D2079393
  • Facility Name: PHYSICIANS GROUP LABORATORIES-HOUMA
  • Facility Address: 4752 HWY 311, STE 112
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 580-9703
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. LARRY A. BROUSSARD
  • NPI Number: 1760897755
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 19D2079393
LAB Type Independent
Facility Name PHYSICIANS GROUP LABORATORIES-HOUMA
Street 4752 HWY 311, STE 112
City HOUMA
State LA
ZIP 70360
Phone 985 580-9703
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Independent
Lab Director DR. LARRY A. BROUSSARD

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