19D2299627 CLIA NUMBER - SUMMIT BHC LAFAYETTE, LLC VICTORY RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 19D2299627
  • Facility Name: SUMMIT BHC LAFAYETTE, LLC VICTORY RECOVERY CENTER
  • Facility Address: 516 VETERANS MEMORIAL BLVD
    METAIRIE, LA
    ZIP 70005
  • Facility Phone: 337 456-9111
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: SCOTT MAYERS
  • NPI Number: 1932517653
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D2299627
LAB Type Other - OUTPATIENT CLINIC
Facility Name SUMMIT BHC LAFAYETTE, LLC VICTORY RECOVERY CENTER
Street 516 VETERANS MEMORIAL BLVD
City METAIRIE
State LA
ZIP 70005
Phone 337 456-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Other - OUTPATIENT CLINIC
Lab Director SCOTT MAYERS

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