19D2187991 CLIA NUMBER - KITE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 19D2187991
  • Facility Name: KITE CLINIC, LLC
  • Facility Address: 1921 DULLES DR
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 579-5777
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURA L. KIGHT
  • NPI Number: 1952064966
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2187991
LAB Type Practitioner Other
Facility Name KITE CLINIC, LLC
Street 1921 DULLES DR
City LAFAYETTE
State LA
ZIP 70506
Phone 337 579-5777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Practitioner Other
Lab Director LAURA L. KIGHT

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