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19D2246739 CLIA NUMBER - DIABETES RELIEF OF ACADIANA, LLC

Laboratory Demographics

CLIA Number: 19D2246739

Facility Name: DIABETES RELIEF OF ACADIANA, LLC

Facility Address:
1223 CAMELIA BOULEVARD, SUITE 100
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 962-2488

Facility Type: Other - DIABETES CLINIC, INSULIN

Certificate Type: Waiver
NPI Number: 1023775475

Taxonomy: 2083P0901X - Preventive Medicine
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

CLIA Record

Field Name Field Value
CLIA Number 19D2246739
LAB Type Other - DIABETES CLINIC, INSULIN
Facility Name DIABETES RELIEF OF ACADIANA, LLC
Street 1223 CAMELIA BOULEVARD, SUITE 100
City LAFAYETTE
State LA
ZIP 70508
Phone 337 962-2488
CertificateType 4
CertificateEffectiveDate 12/29/2023
CertificateExpirationDate 12/28/2025
FacilityType Waiver

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