19D2102916 CLIA NUMBER - BROUSSARD CHIROPRACTIC CENTER

Laboratory Demographics

  • CLIA Code: 19D2102916
  • Facility Name: BROUSSARD CHIROPRACTIC CENTER
  • Facility Address: 331 HOSPITAL RD
    NEW ROADS, LA
    ZIP 70760
  • Facility Phone: 225 618-8016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LATRESIA G. BROUSSARD-BELL
  • NPI Number: 1366590648
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2102916
LAB Type Physician Office
Facility Name BROUSSARD CHIROPRACTIC CENTER
Street 331 HOSPITAL RD
City NEW ROADS
State LA
ZIP 70760
Phone 225 618-8016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director LATRESIA G. BROUSSARD-BELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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