19D0870005 CLIA NUMBER - BROUSSARD SURGERY INSTITUTE INC

Laboratory Demographics

  • CLIA Code: 19D0870005
  • Facility Name: BROUSSARD SURGERY INSTITUTE INC
  • Facility Address: 1250 PECANLAND ROAD
    MONROE, LA
    ZIP 71203
  • Facility Phone: 318 387-2015
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GERALD B. BROUSSARD
  • NPI Number: 1649215765
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0870005
LAB Type Ambulatory Surgery Center
Facility Name BROUSSARD SURGERY INSTITUTE INC
Street 1250 PECANLAND ROAD
City MONROE
State LA
ZIP 71203
Phone 318 387-2015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Ambulatory Surgery Center
Lab Director GERALD B. BROUSSARD

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