19D2270832 CLIA NUMBER - COMMCARE CORPORATION DBA CALCASIEU COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 19D2270832
  • Facility Name: COMMCARE CORPORATION DBA CALCASIEU COMMUNITY CARE
  • Facility Address: 4190 GERSTNER MEMORIAL DRIVE
    LAKE CHARLES, LA
    ZIP 70607
  • Facility Phone: 337 240-9730
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ALLISON DIETZ
  • NPI Number: 1114102738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D2270832
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COMMCARE CORPORATION DBA CALCASIEU COMMUNITY CARE
Street 4190 GERSTNER MEMORIAL DRIVE
City LAKE CHARLES
State LA
ZIP 70607
Phone 337 240-9730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ALLISON DIETZ

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