19D1080919 CLIA NUMBER - LCMS MATTHEW G SCROGGS MD LLC

Laboratory Demographics

  • CLIA Code: 19D1080919
  • Facility Name: LCMS MATTHEW G SCROGGS MD LLC
  • Facility Address: 1890 WEST GAUTHIER ROAD #140
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 480-5570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW G. SCROGGS
  • NPI Number: 1831491067
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D1080919
LAB Type Physician Office
Facility Name LCMS MATTHEW G SCROGGS MD LLC
Street 1890 WEST GAUTHIER ROAD #140
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 480-5570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director MATTHEW G. SCROGGS

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