19D2248045 CLIA NUMBER - THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND

Laboratory Demographics

  • CLIA Code: 19D2248045
  • Facility Name: THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
  • Facility Address: 4560 HWY 1, SUITE 3
    RACELAND, LA
    ZIP 70394
  • Facility Phone: 985 493-4742
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHANIE HUGHES
  • NPI Number: 1497348379
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2248045
LAB Type Physician Office
Facility Name THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
Street 4560 HWY 1, SUITE 3
City RACELAND
State LA
ZIP 70394
Phone 985 493-4742
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director STEPHANIE HUGHES

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