CLIA lab
CLIA 19D0464376: Cypress at Lake Providence LLC
Lake Providence, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0464376 belongs to Cypress at Lake Providence LLC in Lake Providence, LA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 22, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D0464376
- Lab name
- Cypress at Lake Providence LLC
- Address
- 5976 Highway 65N, Lake Providence, LA 71254
- Phone
- (318) 559-2248
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Providence, LA
- East Carroll Medical ClinicCertificate of Waiver, Community clinic19D0927607
- East Carroll Parish Hosp Nursing DeptCertificate of Waiver, Hospital19D0880963
- East Carroll Parish HospitalCertificate of Compliance, Hospital19D0673263
- East Carroll Parish School DistrictCertificate of Waiver, School or student health service19D2239272
- Express RX of Lake ProvidenceCertificate of Waiver, Pharmacy19D2186394
- Family Medical ClinicCertificate of Waiver, Federally qualified health center19D0464368
- Lake Providence Medical ClinicCertificate of Compliance, Physician office19D0901787
- Riverbend DetentionCertificate of Waiver, Prison19D2223656
Related
Questions
What is the CLIA number for Cypress at Lake Providence LLC in Lake Providence?
19D0464376, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cypress at Lake Providence LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D0464376 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.