19D2318140 CLIA NUMBER - PROFICIENT MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 19D2318140
  • Facility Name: PROFICIENT MEDICAL GROUP, LLC
  • Facility Address: 2701 JOHNSTON ST - STE 100
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 261-2633
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ELLE SALAMEH
  • NPI Number: 1972033504
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2318140
LAB Type Community Clinic
Facility Name PROFICIENT MEDICAL GROUP, LLC
Street 2701 JOHNSTON ST - STE 100
City LAFAYETTE
State LA
ZIP 70503
Phone 337 261-2633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Community Clinic
Lab Director ELLE SALAMEH

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