19D2273850 CLIA NUMBER - OCHSNER CHRISTUS PRIMARY CARE - RYAN STREET

Laboratory Demographics

  • CLIA Code: 19D2273850
  • Facility Name: OCHSNER CHRISTUS PRIMARY CARE - RYAN STREET
  • Facility Address: 4100 RYAN STREET
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 415-4888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILY PAULK
  • NPI Number: 1720527260
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2273850
LAB Type Physician Office
Facility Name OCHSNER CHRISTUS PRIMARY CARE - RYAN STREET
Street 4100 RYAN STREET
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 415-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director EMILY PAULK

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