19D2050315 CLIA NUMBER - CARLOCK FAMILY MEDICAL CLINIC CARLOCK ENTERPRISES LLC

Laboratory Demographics

  • CLIA Code: 19D2050315
  • Facility Name: CARLOCK FAMILY MEDICAL CLINIC CARLOCK ENTERPRISES LLC
  • Facility Address: 1100 NOLAN TRACE PKWY
    LEESVILLE, LA
    ZIP 71446
  • Facility Phone: 337 238-5180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT LEMME
  • NPI Number: 1649524257
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2050315
LAB Type Physician Office
Facility Name CARLOCK FAMILY MEDICAL CLINIC CARLOCK ENTERPRISES LLC
Street 1100 NOLAN TRACE PKWY
City LEESVILLE
State LA
ZIP 71446
Phone 337 238-5180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director ROBERT LEMME

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