19D2142425 CLIA NUMBER - LAKE CHARLES CBOC

Laboratory Demographics

  • CLIA Code: 19D2142425
  • Facility Name: LAKE CHARLES CBOC
  • Facility Address: 3601 GERTNER MEMORIAL HWY/LA 114
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 475-5511
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: JANE DRY
  • NPI Number: 1306135892
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2142425
LAB Type Community Clinic
Facility Name LAKE CHARLES CBOC
Street 3601 GERTNER MEMORIAL HWY/LA 114
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 475-5511
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/10/2018
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director JANE DRY

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