19D2240433 CLIA NUMBER - THIBODAUX ENDOSCOPY LLC

Laboratory Demographics

  • CLIA Code: 19D2240433
  • Facility Name: THIBODAUX ENDOSCOPY LLC
  • Facility Address: 764 N ACADIA RD, STE B
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 446-1985
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLES J. MONIER
  • NPI Number: 1730854423
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2240433
LAB Type Ambulatory Surgery Center
Facility Name THIBODAUX ENDOSCOPY LLC
Street 764 N ACADIA RD, STE B
City THIBODAUX
State LA
ZIP 70301
Phone 985 446-1985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Ambulatory Surgery Center
Lab Director CHARLES J. MONIER

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