19D0906970 CLIA NUMBER - LAKEVIEW CIRCLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D0906970
  • Facility Name: LAKEVIEW CIRCLE PRIMARY CARE
  • Facility Address: 130 LAKEVIEW CIRCLE
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 892-6858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA KANAGALA
  • NPI Number: 1285890467
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0906970
LAB Type Physician Office
Facility Name LAKEVIEW CIRCLE PRIMARY CARE
Street 130 LAKEVIEW CIRCLE
City COVINGTON
State LA
ZIP 70433
Phone 985 892-6858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director ANITA KANAGALA

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