19D2118691 CLIA NUMBER - DELTA URGENT CARE

Laboratory Demographics

  • CLIA Code: 19D2118691
  • Facility Name: DELTA URGENT CARE
  • Facility Address: 1505 HWY 90
    BAYOU VISTA, LA
    ZIP 70380
  • Facility Phone: 985 262-4424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRAD CHAUVIN
  • NPI Number: 1205210838
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2118691
LAB Type Physician Office
Facility Name DELTA URGENT CARE
Street 1505 HWY 90
City BAYOU VISTA
State LA
ZIP 70380
Phone 985 262-4424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director BRAD CHAUVIN

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