19D0944746 CLIA NUMBER - ALLEGIANCE MEDICAL CLINIC OF DEQUINCY

Laboratory Demographics

  • CLIA Code: 19D0944746
  • Facility Name: ALLEGIANCE MEDICAL CLINIC OF DEQUINCY
  • Facility Address: 601 WEST 4TH STREET
    DEQUINCY, LA
    ZIP 70633
  • Facility Phone: (337) 786-6161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JALAL JOUDEH
  • NPI Number: 1073267076
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0944746
LAB Type Physician Office
Facility Name ALLEGIANCE MEDICAL CLINIC OF DEQUINCY
Street 601 WEST 4TH STREET
City DEQUINCY
State LA
ZIP 70633
Phone 3377866161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2026
Certificate Expiration Date 4/19/2028
Facility Type Physician Office
Lab Director JALAL JOUDEH

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This page was last updated on: 5/18/2026