19D2172932 CLIA NUMBER - NRMC UROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 19D2172932
  • Facility Name: NRMC UROLOGY ASSOCIATES
  • Facility Address: 601 KEYSER AVE
    NATCHITOCHES, LA
    ZIP 71457
  • Facility Phone: 318 214-5770
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH PEREGO II
  • NPI Number: 1144881459
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 19D2172932
LAB Type Physician Office
Facility Name NRMC UROLOGY ASSOCIATES
Street 601 KEYSER AVE
City NATCHITOCHES
State LA
ZIP 71457
Phone 318 214-5770
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 10/2/2023
Certificate Expiration Date 10/1/2025
Facility Type Physician Office
Lab Director KENNETH PEREGO II

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