19D2207754 CLIA NUMBER - BRUYNINCKX MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D2207754
  • Facility Name: BRUYNINCKX MEDICAL CLINIC
  • Facility Address: 117 ELLINGTON DRIVE
    RAYVILLE, LA
    ZIP 71269
  • Facility Phone: 318 728-0281
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KYLE BRUYNINCKX
  • NPI Number: 1700481660
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2207754
LAB Type Physician Office
Facility Name BRUYNINCKX MEDICAL CLINIC
Street 117 ELLINGTON DRIVE
City RAYVILLE
State LA
ZIP 71269
Phone 318 728-0281
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director DR. KYLE BRUYNINCKX

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