19D0684056 CLIA NUMBER - CHILDRENS CLINIC OF SW LA MOSS BLUFF

Laboratory Demographics

  • CLIA Code: 19D0684056
  • Facility Name: CHILDRENS CLINIC OF SW LA MOSS BLUFF
  • Facility Address: 117 GLORIA
    LAKE CHARLES, LA
    ZIP 70611
  • Facility Phone: 337 478-6480
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: BRYAN KARRIKER
  • NPI Number: 1184019846
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D0684056
LAB Type Physician Office
Facility Name CHILDRENS CLINIC OF SW LA MOSS BLUFF
Street 117 GLORIA
City LAKE CHARLES
State LA
ZIP 70611
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