19D2136396 CLIA NUMBER - ACADIANA PEDIATRICS, LLC

Laboratory Demographics

CLIA Number: 19D2136396

Facility Name: ACADIANA PEDIATRICS, LLC

Facility Address:
717 CURTIS DRIVE
RAYNE, LA
ZIP 70578
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Facility Phone Number: 337 334-7554

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780191890

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2136396
LAB Type	Physician Office
Facility Name	ACADIANA PEDIATRICS, LLC
Street	717 CURTIS DRIVE
City	RAYNE
State	LA
ZIP	70578
Phone	337 334-7554
CertificateType	4
CertificateEffectiveDate	9/8/2023
CertificateExpirationDate	9/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024