19D0965249 CLIA NUMBER - DANIEL J WILTZ MD FAMILY HEALTHCARE CLINIC APMC

Laboratory Demographics

  • CLIA Code: 19D0965249
  • Facility Name: DANIEL J WILTZ MD FAMILY HEALTHCARE CLINIC APMC
  • Facility Address: 1117 NORTH MAIN STREET STE B
    SAINT MARTINVILLE, LA
    ZIP 70582
  • Facility Phone: 337 394-7111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL J. WILTZ MD
  • NPI Number: 1184644254
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0965249
LAB Type Physician Office
Facility Name DANIEL J WILTZ MD FAMILY HEALTHCARE CLINIC APMC
Street 1117 NORTH MAIN STREET STE B
City SAINT MARTINVILLE
State LA
ZIP 70582
Phone 337 394-7111
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 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director DANIEL J. WILTZ MD

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