19D2116148 CLIA NUMBER - THIBODAUX PDHC LLC

Laboratory Demographics

  • CLIA Code: 19D2116148
  • Facility Name: THIBODAUX PDHC LLC
  • Facility Address: 124 SUCRE LN
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 446-1541
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SABRINA M. FALGOUST
  • NPI Number: 1629474192
  • Taxonomy: 261QM3000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2116148
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name THIBODAUX PDHC LLC
Street 124 SUCRE LN
City THIBODAUX
State LA
ZIP 70301
Phone 985 446-1541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SABRINA M. FALGOUST

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