19D2184626 CLIA NUMBER - CALCASIEU URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 19D2184626
  • Facility Name: CALCASIEU URGENT CARE LLC
  • Facility Address: 3439 HIGHWAY 1256
    SULPHUR, LA
    ZIP 70665
  • Facility Phone: 901 351-1791
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1376901694
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2184626
LAB Type Physician Office
Facility Name CALCASIEU URGENT CARE LLC
Street 3439 HIGHWAY 1256
City SULPHUR
State LA
ZIP 70665
Phone 901 351-1791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director SELENA GURLEY

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