19D2166374 CLIA NUMBER - ACADIANA PRACTITIONERS OPELOUSAS

Laboratory Demographics

  • CLIA Code: 19D2166374
  • Facility Name: ACADIANA PRACTITIONERS OPELOUSAS
  • Facility Address: 1119 PRUDHOMME CIRCLE, SUITE F
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 942-5899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUSTIN J. MILLER
  • NPI Number: 1497372957
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2166374
LAB Type Physician Office
Facility Name ACADIANA PRACTITIONERS OPELOUSAS
Street 1119 PRUDHOMME CIRCLE, SUITE F
City OPELOUSAS
State LA
ZIP 70570
Phone 337 942-5899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director DUSTIN J. MILLER

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