19D2161536 CLIA NUMBER - AUST INTERVENTIONAL PAIN

Laboratory Demographics

  • CLIA Code: 19D2161536
  • Facility Name: AUST INTERVENTIONAL PAIN
  • Facility Address: 2000 AUDUBON AVE, SUITE B
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 377-1884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TOD AUST
  • NPI Number: 1710468103
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2161536
LAB Type Physician Office
Facility Name AUST INTERVENTIONAL PAIN
Street 2000 AUDUBON AVE, SUITE B
City THIBODAUX
State LA
ZIP 70301
Phone 985 377-1884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director TOD AUST

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