19D2215434 CLIA NUMBER - ACADIANA IMAGING SERVICES

Laboratory Demographics

CLIA Number: 19D2215434

Facility Name: ACADIANA IMAGING SERVICES

Facility Address:
1025 KALISTE SALOOM RD, SUITE 101
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 237-3424

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1104413806

Taxonomy: 261QR0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 19D2215434
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ACADIANA IMAGING SERVICES
Street 1025 KALISTE SALOOM RD, SUITE 101
City LAFAYETTE
State LA
ZIP 70508
Phone 337 237-3424
CertificateType 4
CertificateEffectiveDate 3/3/2023
CertificateExpirationDate 3/2/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024