19D0461759 CLIA NUMBER - CHILDRENS CLINIC-SW LA

Laboratory Demographics

  • CLIA Code: 19D0461759
  • Facility Name: CHILDRENS CLINIC-SW LA
  • Facility Address: 2903 FIRST AVENUE
    LAKE CHARLES, LA
    ZIP 70601
  • Facility Phone: 337 478-6480
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BRYAN KARRIKER
  • NPI Number: 1225055304
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D0461759
LAB Type Physician Office
Facility Name CHILDRENS CLINIC-SW LA
Street 2903 FIRST AVENUE
City LAKE CHARLES
State LA
ZIP 70601
Phone 337 478-6480
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director BRYAN KARRIKER

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