19D2068506 CLIA NUMBER - OCHSNER URGENT CARE HOUMA

Laboratory Demographics

  • CLIA Code: 19D2068506
  • Facility Name: OCHSNER URGENT CARE HOUMA
  • Facility Address: 5922 W MAIN STREET, SUITE A
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 772-6825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJSA NIKOLIC
  • NPI Number: 1184163966
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2068506
LAB Type Physician Office
Facility Name OCHSNER URGENT CARE HOUMA
Street 5922 W MAIN STREET, SUITE A
City HOUMA
State LA
ZIP 70360
Phone 985 772-6825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director AJSA NIKOLIC

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