22D0687593 CLIA NUMBER - THIBODAUX REGIONAL WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 22D0687593
  • Facility Name: THIBODAUX REGIONAL WOMEN'S CLINIC
  • Facility Address: 604 NORTH ACADIA ROAD, SUITE 500
    THIBODAUX, LA
    ZIP 70301
  • Facility Phone: 985 448-1216
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER Z. RODRIGUE
  • NPI Number: 1184963613
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 22D0687593
LAB Type Physician Office
Facility Name THIBODAUX REGIONAL WOMEN'S CLINIC
Street 604 NORTH ACADIA ROAD, SUITE 500
City THIBODAUX
State LA
ZIP 70301
Phone 985 448-1216
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director CHRISTOPHER Z. RODRIGUE

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