19D2281716 CLIA NUMBER - AXCELICARE, LLC

Laboratory Demographics

  • CLIA Code: 19D2281716
  • Facility Name: AXCELICARE, LLC
  • Facility Address: 621 EAST MILLER AVE
    IOWA, LA
    ZIP 70647
  • Facility Phone: 337 336-8155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAYLIN B. MILLER
  • NPI Number: 1740978345
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2281716
LAB Type Physician Office
Facility Name AXCELICARE, LLC
Street 621 EAST MILLER AVE
City IOWA
State LA
ZIP 70647
Phone 337 336-8155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director JAYLIN B. MILLER

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