19D1107673 CLIA NUMBER - PREMIER OBGYN SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 19D1107673
  • Facility Name: PREMIER OBGYN SPECIALISTS, LLC
  • Facility Address: 8120 MAIN STREET, SUITE 202
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 223-8994
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIN H. PENNISON
  • NPI Number: 1295051902
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D1107673
LAB Type Physician Office
Facility Name PREMIER OBGYN SPECIALISTS, LLC
Street 8120 MAIN STREET, SUITE 202
City HOUMA
State LA
ZIP 70360
Phone 985 223-8994
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director ERIN H. PENNISON

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