19D2183662 CLIA NUMBER - THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 19D2183662
  • Facility Name: THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC
  • Facility Address: 726 N ACADIA ROAD, SUITE 3300
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 493-3080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANE FREY
  • NPI Number: 1215355128
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2183662
LAB Type Physician Office
Facility Name THIBODAUX REGIONAL ENDOCRINOLOGY CLINIC
Street 726 N ACADIA ROAD, SUITE 3300
City THIBODAUX
State LA
ZIP 70301
Phone 985 493-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director LANE FREY

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