19D2021141 CLIA NUMBER - BRADLEY K FORSYTH MD OBSTETRICAL & GYNECOLOGY OF SWLA, LLC

Laboratory Demographics

  • CLIA Code: 19D2021141
  • Facility Name: BRADLEY K FORSYTH MD OBSTETRICAL & GYNECOLOGY OF SWLA, LLC
  • Facility Address: 1890 W GAUTHIER RD, STE 150
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 480-5559
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. MCALPINE
  • NPI Number: 1013579150
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 19D2021141
LAB Type Physician Office
Facility Name BRADLEY K FORSYTH MD OBSTETRICAL & GYNECOLOGY OF SWLA, LLC
Street 1890 W GAUTHIER RD, STE 150
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 480-5559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DAVID C. MCALPINE

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