19D2307388 CLIA NUMBER - LAKE AREA DIRECT CARE

Laboratory Demographics

  • CLIA Code: 19D2307388
  • Facility Name: LAKE AREA DIRECT CARE
  • Facility Address: 2000 SOUTHWOOD DRIVE
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 722-4020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA RASBERRY
  • NPI Number: 1770543076
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D2307388
LAB Type Physician Office
Facility Name LAKE AREA DIRECT CARE
Street 2000 SOUTHWOOD DRIVE
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 722-4020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director MELISSA RASBERRY

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