19D0460777 CLIA NUMBER - DANIEL G DUPREE MD

Laboratory Demographics

  • CLIA Code: 19D0460777
  • Facility Name: DANIEL G DUPREE MD
  • Facility Address: 1245 S COLLEGE ROAD, BUILDING 5
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 235-6886
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL G. DUPREE, MD
  • NPI Number: 1043271828
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D0460777
LAB Type Physician Office
Facility Name DANIEL G DUPREE MD
Street 1245 S COLLEGE ROAD, BUILDING 5
City LAFAYETTE
State LA
ZIP 70503
Phone 337 235-6886
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DANIEL G. DUPREE, MD

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