19D2149678 CLIA NUMBER - CORY LEMOINE, DO

Laboratory Demographics

  • CLIA Code: 19D2149678
  • Facility Name: CORY LEMOINE, DO
  • Facility Address: 109 SAINT NAZAIRE RD, SUITE B
    BROUSSARD, LA
    ZIP 70518
  • Facility Phone: 337 470-7580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORY LEMOINE
  • NPI Number: 1760836597
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2149678
LAB Type Physician Office
Facility Name CORY LEMOINE, DO
Street 109 SAINT NAZAIRE RD, SUITE B
City BROUSSARD
State LA
ZIP 70518
Phone 337 470-7580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Physician Office
Lab Director CORY LEMOINE

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