19D2164207 CLIA NUMBER - ALLIED HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 19D2164207
  • Facility Name: ALLIED HEALTH, LLC
  • Facility Address: 105 PATRIOT ST, STE 102
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 602-8686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GASSAN M. CHAIBAN
  • NPI Number: 1831611508
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2164207
LAB Type Physician Office
Facility Name ALLIED HEALTH, LLC
Street 105 PATRIOT ST, STE 102
City LAFAYETTE
State LA
ZIP 70508
Phone 337 602-8686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director GASSAN M. CHAIBAN

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