19D2279167 CLIA NUMBER - STONEBRIDGE BEHAVIORAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 19D2279167
  • Facility Name: STONEBRIDGE BEHAVIORAL HOSPITAL
  • Facility Address: 2837 ERNEST ST, SUITE A
    LAKE CHARLES, LA
    ZIP 70601
  • Facility Phone: 337 439-8111
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ZACHARY C. RYDER
  • NPI Number: 1780384644
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 19D2279167
LAB Type Hospital
Facility Name STONEBRIDGE BEHAVIORAL HOSPITAL
Street 2837 ERNEST ST, SUITE A
City LAKE CHARLES
State LA
ZIP 70601
Phone 337 439-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Hospital
Lab Director ZACHARY C. RYDER

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