19D0459953 CLIA NUMBER - CHARLES BOLOTTE MD

Laboratory Demographics

  • CLIA Code: 19D0459953
  • Facility Name: CHARLES BOLOTTE MD
  • Facility Address: 141 HIGHWAY 402
    NAPOLEONVILLE, LA
    ZIP 70390
  • Facility Phone: 504 369-6027
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES P. BOLOTTE MD
  • NPI Number: 1003884388
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0459953
LAB Type Physician Office
Facility Name CHARLES BOLOTTE MD
Street 141 HIGHWAY 402
City NAPOLEONVILLE
State LA
ZIP 70390
Phone 504 369-6027
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director CHARLES P. BOLOTTE MD

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