19D2263860 CLIA NUMBER - BIOACTIVE INFUSIONS & WELLNESS

Laboratory Demographics

  • CLIA Code: 19D2263860
  • Facility Name: BIOACTIVE INFUSIONS & WELLNESS
  • Facility Address: 100 W LOUISIANA AVENUE
    RAYNE, LA
    ZIP 70578
  • Facility Phone: 337 581-7009
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KIMBERLY B. GATTE
  • NPI Number: 1770213217
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2263860
LAB Type Independent
Facility Name BIOACTIVE INFUSIONS & WELLNESS
Street 100 W LOUISIANA AVENUE
City RAYNE
State LA
ZIP 70578
Phone 337 581-7009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Independent
Lab Director KIMBERLY B. GATTE

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