19D2119617 CLIA NUMBER - SOUTHSTAR URGENT CARE-VERMILION LA #3

Laboratory Demographics

  • CLIA Code: 19D2119617
  • Facility Name: SOUTHSTAR URGENT CARE-VERMILION LA #3
  • Facility Address: 3013 VETERAN'S MEMORIAL DRIVE, SUITE 101
    ABBEVILLE, LA
    ZIP 70510
  • Facility Phone: 337 385-5008
  • Facility Type: Other - URGENT CARE WALK IN
  • Facility Type: Waiver
  • Lab Director: JAMES RUNNELS
  • NPI Number: 1043768716
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2119617
LAB Type Other - URGENT CARE WALK IN
Facility Name SOUTHSTAR URGENT CARE-VERMILION LA #3
Street 3013 VETERAN'S MEMORIAL DRIVE, SUITE 101
City ABBEVILLE
State LA
ZIP 70510
Phone 337 385-5008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - URGENT CARE WALK IN
Lab Director JAMES RUNNELS

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