19D2035320 CLIA NUMBER - DWAYNE J BERGEAUX MD

Laboratory Demographics

  • CLIA Code: 19D2035320
  • Facility Name: DWAYNE J BERGEAUX MD
  • Facility Address: 1322 ELTON ROAD, SUITE E
    JENNINGS, LA
    ZIP 70546
  • Facility Phone: 337 788-2864
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DWAYNE J. BERGEAUX
  • NPI Number: 1477738268
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2035320
LAB Type Physician Office
Facility Name DWAYNE J BERGEAUX MD
Street 1322 ELTON ROAD, SUITE E
City JENNINGS
State LA
ZIP 70546
Phone 337 788-2864
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 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director DWAYNE J. BERGEAUX

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