19D2294043 CLIA NUMBER - THIBODAUX REGIONAL CARDIOLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 19D2294043
  • Facility Name: THIBODAUX REGIONAL CARDIOLOGY CLINIC
  • Facility Address: 602 N ACADIA RD, STE 101
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 493-4993
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HADI ELIAS
  • NPI Number: 1134813280
  • Taxonomy: 207RI0011X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2294043
LAB Type Physician Office
Facility Name THIBODAUX REGIONAL CARDIOLOGY CLINIC
Street 602 N ACADIA RD, STE 101
City THIBODAUX
State LA
ZIP 70301
Phone 985 493-4993
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 HADI ELIAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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