19D2084972 CLIA NUMBER - PRAIRIEVILLE AFTER HOURS

Laboratory Demographics

  • CLIA Code: 19D2084972
  • Facility Name: PRAIRIEVILLE AFTER HOURS
  • Facility Address: 38384 HWY 42, STE C
    PRAIRIEVILLE, LA
    ZIP 70769
  • Facility Phone: 225 313-6716
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACKIE L. LARUE
  • NPI Number: 1770964199
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2084972
LAB Type Physician Office
Facility Name PRAIRIEVILLE AFTER HOURS
Street 38384 HWY 42, STE C
City PRAIRIEVILLE
State LA
ZIP 70769
Phone 225 313-6716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director JACKIE L. LARUE

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