CLIA lab

CLIA 19D0464368: Family Medical Clinic

Lake Providence, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D0464368 belongs to Family Medical Clinic in Lake Providence, LA.

Certificate of Waiver, effective June 13, 2026, expires June 12, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 13, 2026
Certificate expiration
June 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Federally qualified health center
Ownership (control type)
Government, county
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
19D0464368
Lab name
Family Medical Clinic
Address
326 N Hood St, Lake Providence, LA 71254
Phone
(318) 559-4023
Fax
(318) 559-0003

Annual test volume the lab reported

Waived tests
1,870

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lake Providence, LA

Related

Questions

What is the CLIA number for Family Medical Clinic in Lake Providence?

19D0464368, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D0464368 expire?

The CMS file lists June 12, 2028 as the certificate expiration date; the certificate took effect June 13, 2026.

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