19D2270630 CLIA NUMBER - CALCASIEU URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D2270630
  • Facility Name: CALCASIEU URGENT CARE, LLC
  • Facility Address: 1121 POLK STREET
    MANSFIELD, LA
    ZIP 71052
  • Facility Phone: 931 253-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SELENA GURLEY
  • NPI Number: 1770961922
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2270630
LAB Type Physician Office
Facility Name CALCASIEU URGENT CARE, LLC
Street 1121 POLK STREET
City MANSFIELD
State LA
ZIP 71052
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director SELENA GURLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025