19D2145939 CLIA NUMBER - KIDNEY CARE OF LOUISIANA LAFAYETTE KIDNEY CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D2145939
  • Facility Name: KIDNEY CARE OF LOUISIANA LAFAYETTE KIDNEY CARE, LLC
  • Facility Address: 201 4TH STREET, AUITE 5A
    ALEXANDRIA, LA
    ZIP 71301
  • Facility Phone: 318 483-1961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBIN BENNETT
  • NPI Number: 1689103335
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2145939
LAB Type Physician Office
Facility Name KIDNEY CARE OF LOUISIANA LAFAYETTE KIDNEY CARE, LLC
Street 201 4TH STREET, AUITE 5A
City ALEXANDRIA
State LA
ZIP 71301
Phone 318 483-1961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director ROBIN BENNETT

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