19D0893691 CLIA NUMBER - CHITIMACHA HEALTH CARE CLINIC

Laboratory Demographics

  • CLIA Code: 19D0893691
  • Facility Name: CHITIMACHA HEALTH CARE CLINIC
  • Facility Address: 3231 CHITIMACHA TRAIL
    CHARENTON, LA
    ZIP 70523
  • Facility Phone: 337 923-9955
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXI PLAISANCE
  • NPI Number: 1255401022
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D0893691
LAB Type Physician Office
Facility Name CHITIMACHA HEALTH CARE CLINIC
Street 3231 CHITIMACHA TRAIL
City CHARENTON
State LA
ZIP 70523
Phone 337 923-9955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director ALEXI PLAISANCE

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