19D2047866 CLIA NUMBER - J WILLIAM GROVES, JR, MD, LLC

Laboratory Demographics

  • CLIA Code: 19D2047866
  • Facility Name: J WILLIAM GROVES, JR, MD, LLC
  • Facility Address: 1890 W GAUTHIER ROAD, SUITE 130
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 480-5530
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES W. GROVES JR
  • NPI Number: 1407157381
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2047866
LAB Type Physician Office
Facility Name J WILLIAM GROVES, JR, MD, LLC
Street 1890 W GAUTHIER ROAD, SUITE 130
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 480-5530
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 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director JAMES W. GROVES JR

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