19D2294034 CLIA NUMBER - THOM DINH OD, LLC

Laboratory Demographics

  • CLIA Code: 19D2294034
  • Facility Name: THOM DINH OD, LLC
  • Facility Address: 4415 AMBASSADOR CAFFERY PKWY, SUITE 100
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 984-7112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOM T. DINH
  • NPI Number: 1255617551
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2294034
LAB Type Physician Office
Facility Name THOM DINH OD, LLC
Street 4415 AMBASSADOR CAFFERY PKWY, SUITE 100
City LAFAYETTE
State LA
ZIP 70508
Phone 337 984-7112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Physician Office
Lab Director THOM T. DINH

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