CLIA lab
CLIA 19D0862417: Our Lady of the Lake Phycician Group
Baker, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0862417 belongs to Our Lady of the Lake Phycician Group in Baker, LA.
Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Proprietary
- 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
- 19D0862417
- Lab name
- Our Lady of the Lake Phycician Group
- Additional name
- Internal Medicine and Pediatrics
- Address
- 6516 East Myrtle, Baker, LA 70714
- Phone
- (225) 774-7320
- Fax
- (225) 774-5432
Annual test volume the lab reported
- Provider-performed microscopy tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Impact Charter SchoolCertificate of Waiver, School or student health service19D2208770
- Lane Family Practice BakerCertificate of Waiver, Physician office19D2349587
- Lane Regional-SlpcCertificate of Waiver, Physician office19D2128833
- Mark C Mouton MD LLCCertificate of Waiver, Physician office19D2021036
- Northridge Care CenterCertificate of Waiver, Skilled nursing or nursing facility19D0680032
- Positive DirectionCertificate of Waiver, Other19D2158072
- South Louisiana Primary Care, LLCCertificate of Waiver, Physician office19D2132966
Related
Questions
What is the CLIA number for Our Lady of the Lake Phycician Group in Baker?
19D0862417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of the Lake Phycician Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 19D0862417 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.