19D2028143 CLIA NUMBER - KWIK CLINIC

Laboratory Demographics

  • CLIA Code: 19D2028143
  • Facility Name: KWIK CLINIC
  • Facility Address: 806 S TYLER ST
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 892-3360
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MELISSA M. DWORAK
  • NPI Number: 1285905638
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2028143
LAB Type Practitioner Other
Facility Name KWIK CLINIC
Street 806 S TYLER ST
City COVINGTON
State LA
ZIP 70433
Phone 985 892-3360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Practitioner Other
Lab Director MELISSA M. DWORAK

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