19D1007626 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

  • CLIA Code: 19D1007626
  • Facility Name: DIALYSIS CLINIC, INC
  • Facility Address: 1325 WRIGHT AVENUE
    CROWLEY, LA
    ZIP 70526
  • Facility Phone: 337 788-1990
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DWAYNE BERGEAUX, MD
  • NPI Number: 1942225636
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1007626
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC
Street 1325 WRIGHT AVENUE
City CROWLEY
State LA
ZIP 70526
Phone 337 788-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DWAYNE BERGEAUX, MD

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