19D2142096 CLIA NUMBER - ACADIANA PRACTITIONERS, LLC

Laboratory Demographics

  • CLIA Code: 19D2142096
  • Facility Name: ACADIANA PRACTITIONERS, LLC
  • Facility Address: 414 SAIZAN AVE
    PORT BARRE, LA
    ZIP 70577
  • Facility Phone: 337 585-2671
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DUSTIN J. MILLER
  • NPI Number: 1255809166
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2142096
LAB Type Rural Health Clinic
Facility Name ACADIANA PRACTITIONERS, LLC
Street 414 SAIZAN AVE
City PORT BARRE
State LA
ZIP 70577
Phone 337 585-2671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Rural Health Clinic
Lab Director DUSTIN J. MILLER

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