19D2103368 CLIA NUMBER - TYLER PERRIN-BELLELO

Laboratory Demographics

  • CLIA Code: 19D2103368
  • Facility Name: TYLER PERRIN-BELLELO
  • Facility Address: 459 HEYMANN BLVD
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 289-8974
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TYLER PERRIN-BELLELO
  • NPI Number: 1215203377
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2103368
LAB Type Physician Office
Facility Name TYLER PERRIN-BELLELO
Street 459 HEYMANN BLVD
City LAFAYETTE
State LA
ZIP 70503
Phone 337 289-8974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director TYLER PERRIN-BELLELO

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