19D0464109 CLIA NUMBER - SAMPOGNARO INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 19D0464109
  • Facility Name: SAMPOGNARO INTERNAL MEDICINE CLINIC
  • Facility Address: 1 BANCROFT CIRCLE
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 361-0995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. SAMPOGNARO
  • NPI Number: 1316352677
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0464109
LAB Type Physician Office
Facility Name SAMPOGNARO INTERNAL MEDICINE CLINIC
Street 1 BANCROFT CIRCLE
City MONROE
State LA
ZIP 71201
Phone 318 361-0995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MICHAEL J. SAMPOGNARO

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