19D2021840 CLIA NUMBER - APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY OF LAKE CHARLES

Laboratory Demographics

  • CLIA Code: 19D2021840
  • Facility Name: APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY OF LAKE CHARLES
  • Facility Address: 751 BAYOU PINES EAST SUITE P
    LAKE CHARLES, LA
    ZIP 70601
  • Facility Phone: 469 830-8483
  • Facility Type: Other - NARCOTIC TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: SHANNA FOLEY
  • NPI Number: 1205137197
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2021840
LAB Type Other - NARCOTIC TREATMENT CENTER
Facility Name APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY OF LAKE CHARLES
Street 751 BAYOU PINES EAST SUITE P
City LAKE CHARLES
State LA
ZIP 70601
Phone 469 830-8483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other - NARCOTIC TREATMENT CENTER
Lab Director SHANNA FOLEY

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