19D2193596 CLIA NUMBER - CALCASIEU URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 19D2193596
  • Facility Name: CALCASIEU URGENT CARE LLC
  • Facility Address: 64410 HIGHWAY 41
    PEARL RIVER, LA
    ZIP 70452
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1467715490
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2193596
LAB Type Physician Office
Facility Name CALCASIEU URGENT CARE LLC
Street 64410 HIGHWAY 41
City PEARL RIVER
State LA
ZIP 70452
Phone 931 253-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director SELENA GURLEY

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