19D1100118 CLIA NUMBER - OGH IMAGING LLC

Laboratory Demographics

  • CLIA Code: 19D1100118
  • Facility Name: OGH IMAGING LLC
  • Facility Address: 1341 I 49 S SERVICE ROAD
    GRAND COTEAU, LA
    ZIP 70541
  • Facility Phone: 337 407-4523
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LESSIE L. DOUCET
  • NPI Number: 1598791188
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1100118
LAB Type Independent
Facility Name OGH IMAGING LLC
Street 1341 I 49 S SERVICE ROAD
City GRAND COTEAU
State LA
ZIP 70541
Phone 337 407-4523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Independent
Lab Director LESSIE L. DOUCET

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