19D1064404 CLIA NUMBER - DIALYSIS CLINIC, INC-JENNINGS

Laboratory Demographics

  • CLIA Code: 19D1064404
  • Facility Name: DIALYSIS CLINIC, INC-JENNINGS
  • Facility Address: 1322 ELTON RD STE C
    JENNINGS, LA
    ZIP 70546
  • Facility Phone: 337 616-8232
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DWAYNE BERGEAUX, MD
  • NPI Number: 1740206317
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1064404
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC-JENNINGS
Street 1322 ELTON RD STE C
City JENNINGS
State LA
ZIP 70546
Phone 337 616-8232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DWAYNE BERGEAUX, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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