19D2069127 CLIA NUMBER - CHURCH POINT PRIMARY CARE,LLC

Laboratory Demographics

  • CLIA Code: 19D2069127
  • Facility Name: CHURCH POINT PRIMARY CARE,LLC
  • Facility Address: 202 WEST MURRELL STREET
    CHURCH POINT, LA
    ZIP 70525
  • Facility Phone: 337 684-1300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY MURRAY
  • NPI Number: 1841627882
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2069127
LAB Type Physician Office
Facility Name CHURCH POINT PRIMARY CARE,LLC
Street 202 WEST MURRELL STREET
City CHURCH POINT
State LA
ZIP 70525
Phone 337 684-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director KELLY MURRAY

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