19D2138061 CLIA NUMBER - LAKE AFTER HOURS-DENHAM SOUTH CONVENIENT CARE LLC

Laboratory Demographics

  • CLIA Code: 19D2138061
  • Facility Name: LAKE AFTER HOURS-DENHAM SOUTH CONVENIENT CARE LLC
  • Facility Address: 8249 VINCENT ROAD
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 225 480-1210
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: GRAHAM E. TUJAGUE
  • NPI Number: 1477646370
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2138061
LAB Type Other - URGENT CARE
Facility Name LAKE AFTER HOURS-DENHAM SOUTH CONVENIENT CARE LLC
Street 8249 VINCENT ROAD
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 225 480-1210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Other - URGENT CARE
Lab Director GRAHAM E. TUJAGUE

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