19D0906936 CLIA NUMBER - ST JAMES PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D0906936
  • Facility Name: ST JAMES PRIMARY CARE
  • Facility Address: 827 PINE STREET
    GRAMERCY, LA
    ZIP 70052
  • Facility Phone: 225 869-9200
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ANU PRASAD VELLANKI MD
  • NPI Number: 1457403503
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0906936
LAB Type Community Clinic
Facility Name ST JAMES PRIMARY CARE
Street 827 PINE STREET
City GRAMERCY
State LA
ZIP 70052
Phone 225 869-9200
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 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Community Clinic
Lab Director ANU PRASAD VELLANKI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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