19D1096272 CLIA NUMBER - ERIC J MELANCON MD

Laboratory Demographics

  • CLIA Code: 19D1096272
  • Facility Name: ERIC J MELANCON MD
  • Facility Address: 1151 MARQUERITE STREET #200 A
    MORGAN CITY, LA
    ZIP 70380
  • Facility Phone: 985 384-7288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC J. MELANCON MD
  • NPI Number: 1609955137
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1096272
LAB Type Physician Office
Facility Name ERIC J MELANCON MD
Street 1151 MARQUERITE STREET #200 A
City MORGAN CITY
State LA
ZIP 70380
Phone 985 384-7288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director ERIC J. MELANCON MD

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