19D2108965 CLIA NUMBER - SURGERY CENTER DOCTORS OUTPATIENT SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 19D2108965
  • Facility Name: SURGERY CENTER DOCTORS OUTPATIENT SURGERY CENTER, LLC
  • Facility Address: 1101 SOUTH COLLEGE ROAD, SUITE 100
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 233-8603
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RENEE FREDERICK
  • NPI Number: 1104858513
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2108965
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER DOCTORS OUTPATIENT SURGERY CENTER, LLC
Street 1101 SOUTH COLLEGE ROAD, SUITE 100
City LAFAYETTE
State LA
ZIP 70503
Phone 337 233-8603
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Ambulatory Surgery Center
Lab Director RENEE FREDERICK

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