19D0694435 CLIA NUMBER - HARMON MEDICAL CLINIC LHCG CLXIX, LLC

Laboratory Demographics

  • CLIA Code: 19D0694435
  • Facility Name: HARMON MEDICAL CLINIC LHCG CLXIX, LLC
  • Facility Address: 828 CRESWELL LANE
    OPELOUSAS, LA
    ZIP 70570
  • Facility Phone: 337 948-1802
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RICHARD W. HARMON
  • NPI Number: 1568062446
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0694435
LAB Type Rural Health Clinic
Facility Name HARMON MEDICAL CLINIC LHCG CLXIX, LLC
Street 828 CRESWELL LANE
City OPELOUSAS
State LA
ZIP 70570
Phone 337 948-1802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Rural Health Clinic
Lab Director RICHARD W. HARMON

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