19D1090603 CLIA NUMBER - VCPHCS VI, LLC BHG LAKE CHARLES TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 19D1090603
  • Facility Name: VCPHCS VI, LLC BHG LAKE CHARLES TREATMENT CENTER
  • Facility Address: 115 W MCNEESE ST SUITE 115
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 433-8281
  • Facility Type: Other - DRUG TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: DEIRDA RICHARD
  • NPI Number: 1730340316
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1090603
LAB Type Other - DRUG TREATMENT FACILITY
Facility Name VCPHCS VI, LLC BHG LAKE CHARLES TREATMENT CENTER
Street 115 W MCNEESE ST SUITE 115
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 433-8281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Other - DRUG TREATMENT FACILITY
Lab Director DEIRDA RICHARD

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