19D0882831 CLIA NUMBER - AVOYELLES ALLERGY LABORATORY

Laboratory Demographics

  • CLIA Code: 19D0882831
  • Facility Name: AVOYELLES ALLERGY LABORATORY
  • Facility Address: 198 DR CHILDRESS DRIVE
    MARKSVILLE, LA
    ZIP 71351
  • Facility Phone: 318 253-7540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONNA BREEN
  • NPI Number: 1720397268
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0882831
LAB Type Physician Office
Facility Name AVOYELLES ALLERGY LABORATORY
Street 198 DR CHILDRESS DRIVE
City MARKSVILLE
State LA
ZIP 71351
Phone 318 253-7540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director DONNA BREEN

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