CLIA lab
CLIA 19D2183025: Xstreme MD
Broussard, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2183025 belongs to Xstreme MD in Broussard, LA.
Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 22, 2024
- Certificate expiration
- December 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2020
- Facility type
- Industrial
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D2183025
- Lab name
- Xstreme MD
- Additional name
- Life Line Technologies, LLC
- Address
- 1028 Forum Drive, Broussard, LA 70518
- Phone
- (337) 704-0891
- Fax
- (337) 704-0924
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Broussard, LA
- Acadiana Imaging ServicesCertificate of Waiver, Ancillary test site19D2237356
- Albertsons Pharmacy #2756Certificate of Waiver, Pharmacy19D1033757
- Camelot of BroussardCertificate of Waiver, Skilled nursing or nursing facility19D0697625
- Cory Lemoine, DOCertificate of Waiver, Physician office19D2149678
- Dialysis Clinic IncCertificate of Waiver, End stage renal disease dialysis facility19D2172111
- Familycare of AcadianaCertificate of Waiver, Physician office19D2159977
- Gene Thomas Callais JRCertificate of Waiver, Physician office19D2135292
- Lourdes Urgent CareCertificate of Waiver, Other19D2148919
- Oceans Behavioral Hospital of LafayetteCertificate of Waiver, Hospital19D1058828
- Parkway Pediatrics, LLCCertificate of Waiver, Physician office19D2064434
Related
Questions
What is the CLIA number for Xstreme MD in Broussard?
19D2183025, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Xstreme MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2183025 expire?
The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.