19D2320429 CLIA NUMBER - CHOSEN LAB SERVICES LLC

Laboratory Demographics

  • CLIA Code: 19D2320429
  • Facility Name: CHOSEN LAB SERVICES LLC
  • Facility Address: 4266 WEST MAIN ST
    GRAY, LA
    ZIP 70359
  • Facility Phone: 504 944-1070
  • Facility Type: Other - COLLECTION SITE
  • Facility Type: Waiver
  • Lab Director: LATANYA M. GABRIEL
  • NPI Number: 1154120830
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2320429
LAB Type Other - COLLECTION SITE
Facility Name CHOSEN LAB SERVICES LLC
Street 4266 WEST MAIN ST
City GRAY
State LA
ZIP 70359
Phone 504 944-1070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Other - COLLECTION SITE
Lab Director LATANYA M. GABRIEL

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