19D0980580 CLIA NUMBER - SOUTH CENTRAL LOUISIANA HUMAN SERVICES AUTHORITY

Laboratory Demographics

  • CLIA Code: 19D0980580
  • Facility Name: SOUTH CENTRAL LOUISIANA HUMAN SERVICES AUTHORITY
  • Facility Address: 805 BARROW ST
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 858-2931
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KRISTIN D. BONNER
  • NPI Number: 1891129151
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0980580
LAB Type Community Clinic
Facility Name SOUTH CENTRAL LOUISIANA HUMAN SERVICES AUTHORITY
Street 805 BARROW ST
City HOUMA
State LA
ZIP 70360
Phone 985 858-2931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Community Clinic
Lab Director KRISTIN D. BONNER

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