19D2061596 CLIA NUMBER - DAVID AND ELDREDGE ENT SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 19D2061596
  • Facility Name: DAVID AND ELDREDGE ENT SPECIALISTS, LLC
  • Facility Address: 109 RUE FONTAINE
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 266-9820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HALEY D. SHELTON
  • NPI Number: 1366774929
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 19D2061596
LAB Type Physician Office
Facility Name DAVID AND ELDREDGE ENT SPECIALISTS, LLC
Street 109 RUE FONTAINE
City LAFAYETTE
State LA
ZIP 70508
Phone 337 266-9820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director HALEY D. SHELTON

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