19D0457830 CLIA NUMBER - ST JAMES PARISH HOSPITAL-FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 19D0457830
  • Facility Name: ST JAMES PARISH HOSPITAL-FAMILY PRACTICE CLINIC
  • Facility Address: 1645 LUTCHER AVE- MEDICAL OFFICE BUILDING
    LUTCHER, LA
    ZIP 70071
  • Facility Phone: 225 746-2904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDALL C. POCHE
  • NPI Number: 1649617689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0457830
LAB Type Physician Office
Facility Name ST JAMES PARISH HOSPITAL-FAMILY PRACTICE CLINIC
Street 1645 LUTCHER AVE- MEDICAL OFFICE BUILDING
City LUTCHER
State LA
ZIP 70071
Phone 225 746-2904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director RANDALL C. POCHE

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