19D2159049 CLIA NUMBER - LAKE AFTER HOURS-WALKER

Laboratory Demographics

  • CLIA Code: 19D2159049
  • Facility Name: LAKE AFTER HOURS-WALKER
  • Facility Address: 29373 WALKER SOUTH RD
    WALKER, LA
    ZIP 70785
  • Facility Phone: 225 214-9352
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: KEVIN P. DIBENEDETTO
  • NPI Number: 1225119225
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2159049
LAB Type Other - URGENT CARE
Facility Name LAKE AFTER HOURS-WALKER
Street 29373 WALKER SOUTH RD
City WALKER
State LA
ZIP 70785
Phone 225 214-9352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Other - URGENT CARE
Lab Director KEVIN P. DIBENEDETTO

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