19D2204301 CLIA NUMBER - LAKE PROFESSIONALS, LLC

Laboratory Demographics

  • CLIA Code: 19D2204301
  • Facility Name: LAKE PROFESSIONALS, LLC
  • Facility Address: 501 W ST MARY BLVD, STE 308
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 381-0956
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EUGENE SCHWILKE
  • NPI Number: 1497313670
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2204301
LAB Type Physician Office
Facility Name LAKE PROFESSIONALS, LLC
Street 501 W ST MARY BLVD, STE 308
City LAFAYETTE
State LA
ZIP 70506
Phone 337 381-0956
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director EUGENE SCHWILKE

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