19D2299633 CLIA NUMBER - OLOL ASCENSION SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 19D2299633
  • Facility Name: OLOL ASCENSION SURGERY CENTER
  • Facility Address: 1014 WEST ST CLAIR BLVD, SUITE 2000
    GONZALES, LA
    ZIP 70737
  • Facility Phone: 225 743-2440
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER T. TREVINO
  • NPI Number: 1730111790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2299633
LAB Type Ambulatory Surgery Center
Facility Name OLOL ASCENSION SURGERY CENTER
Street 1014 WEST ST CLAIR BLVD, SUITE 2000
City GONZALES
State LA
ZIP 70737
Phone 225 743-2440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER T. TREVINO

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