19D2204279 CLIA NUMBER - BEACON BEHAVIORAL OP-OPELOUSAS

Laboratory Demographics

  • CLIA Code: 19D2204279
  • Facility Name: BEACON BEHAVIORAL OP-OPELOUSAS
  • Facility Address: 816 CRESSWELL LANE STE 2&3
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 678-3611
  • Facility Type: Other - OUTPATIENT BEHAVIORAL HEA
  • Facility Type: Waiver
  • Lab Director: TABATHA GOLDING
  • NPI Number: 1104459064
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 19D2204279
LAB Type Other - OUTPATIENT BEHAVIORAL HEA
Facility Name BEACON BEHAVIORAL OP-OPELOUSAS
Street 816 CRESSWELL LANE STE 2&3
City OPELOUSAS
State LA
ZIP 70570
Phone 337 678-3611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - OUTPATIENT BEHAVIORAL HEA
Lab Director TABATHA GOLDING

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