19D2326061 CLIA NUMBER - INDEED MEDICAL MOBILE LAB, LLC

Laboratory Demographics

  • CLIA Code: 19D2326061
  • Facility Name: INDEED MEDICAL MOBILE LAB, LLC
  • Facility Address: 3419 NW EVANGELINE THRUWAY, SUITE E8
    CARENCRO, LA
    ZIP 70520
  • Facility Phone: 337 314-9501
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PASCOL D. RIDEAU
  • NPI Number: 1477393734
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 19D2326061
LAB Type Mobile Laboratory
Facility Name INDEED MEDICAL MOBILE LAB, LLC
Street 3419 NW EVANGELINE THRUWAY, SUITE E8
City CARENCRO
State LA
ZIP 70520
Phone 337 314-9501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Mobile Laboratory
Lab Director PASCOL D. RIDEAU

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