19D2081564 CLIA NUMBER - LAFAYETTE-AMG SPECIALTY HOSPITAL PARK PLACE COMPUS

Laboratory Demographics

  • CLIA Code: 19D2081564
  • Facility Name: LAFAYETTE-AMG SPECIALTY HOSPITAL PARK PLACE COMPUS
  • Facility Address: 4811 AMBASSADOR CAFFERY PARKWAY, 4TH FLOOR
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 456-8201
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: APRIL EBELING
  • NPI Number: 1679164123
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2081564
LAB Type Hospital
Facility Name LAFAYETTE-AMG SPECIALTY HOSPITAL PARK PLACE COMPUS
Street 4811 AMBASSADOR CAFFERY PARKWAY, 4TH FLOOR
City LAFAYETTE
State LA
ZIP 70508
Phone 337 456-8201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Hospital
Lab Director APRIL EBELING

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