CLIA lab
CLIA 19D1073869: Breaux Internal Medicine and Pediatric Clinic
Lake Charles, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1073869 belongs to Breaux Internal Medicine and Pediatric Clinic in Lake Charles, LA.
Certificate of Waiver, effective September 18, 2025, expires September 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 18, 2025
- Certificate expiration
- September 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 18, 2007
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D1073869
- Lab name
- Breaux Internal Medicine and Pediatric Clinic
- Address
- 1722 Westwood Street, Lake Charles, LA 70601
- Phone
- (337) 491-7072
- Fax
- (337) 491-7076
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Breaux Internal Medicine and Pediatric Clinic in Lake Charles?
19D1073869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Breaux Internal Medicine and Pediatric Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1073869 expire?
The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.