CLIA lab

CLIA 19D2087122: Beauregard Family Medicine

Deridder, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D2087122 belongs to Beauregard Family Medicine in Deridder, LA.

Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.

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
November 18, 2024
Certificate expiration
November 17, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 2014
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
19D2087122
Lab name
Beauregard Family Medicine
Address
411 South Pine Street, Deridder, LA 70634
Phone
(337) 462-6070
Fax
(337) 462-0091

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Deridder, LA

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Questions

What is the CLIA number for Beauregard Family Medicine in Deridder?

19D2087122, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beauregard Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2087122 expire?

The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.

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