19D2149641 CLIA NUMBER - SOUTHSTAR URGENT CARE-IBERIA #2 LA #4

Laboratory Demographics

  • CLIA Code: 19D2149641
  • Facility Name: SOUTHSTAR URGENT CARE-IBERIA #2 LA #4
  • Facility Address: 1050 E ADMIRAL DOYLE DR, STE A
    NEW IBERIA, LA
    ZIP 70560
  • Facility Phone: 337 465-2151
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES RUNNELS
  • NPI Number: 1275002685
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2149641
LAB Type Physician Office
Facility Name SOUTHSTAR URGENT CARE-IBERIA #2 LA #4
Street 1050 E ADMIRAL DOYLE DR, STE A
City NEW IBERIA
State LA
ZIP 70560
Phone 337 465-2151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director JAMES RUNNELS

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