19D2172111 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

  • CLIA Code: 19D2172111
  • Facility Name: DIALYSIS CLINIC INC
  • Facility Address: 222 SAINT BAZAIRE RD
    BROUSSARD, LA
    ZIP 70518
  • Facility Phone: 337 839-0469
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KIM D. LEBLANC
  • NPI Number: 1255997110
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2172111
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC INC
Street 222 SAINT BAZAIRE RD
City BROUSSARD
State LA
ZIP 70518
Phone 337 839-0469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KIM D. LEBLANC

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