19D2179113 CLIA NUMBER - ACADIANA RADIATION THERAPY, LLC

Laboratory Demographics

  • CLIA Code: 19D2179113
  • Facility Name: ACADIANA RADIATION THERAPY, LLC
  • Facility Address: 525 NORTH LEWIS ST
    NEW IBERIA, LA
    ZIP 70563
  • Facility Phone: 337 364-1131
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. WILT
  • NPI Number: 1720489362
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 19D2179113
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ACADIANA RADIATION THERAPY, LLC
Street 525 NORTH LEWIS ST
City NEW IBERIA
State LA
ZIP 70563
Phone 337 364-1131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director STEPHEN R. WILT

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