19D2129012 CLIA NUMBER - DEREK BAUMBOUREE, MD, APMC

Laboratory Demographics

  • CLIA Code: 19D2129012
  • Facility Name: DEREK BAUMBOUREE, MD, APMC
  • Facility Address: 324 E FARREL RD
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 984-2444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEREK B. BAUMBOUREE
  • NPI Number: 1265430995
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2129012
LAB Type Physician Office
Facility Name DEREK BAUMBOUREE, MD, APMC
Street 324 E FARREL RD
City LAFAYETTE
State LA
ZIP 70508
Phone 337 984-2444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director DEREK B. BAUMBOUREE

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