CLIA lab
CLIA 19D0888317: Our Lady of the Lake Physician Group-Prairieville
Prairieville, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0888317 belongs to Our Lady of the Lake Physician Group-Prairieville in Prairieville, LA.
Certificate of Waiver, effective May 1, 2025, expires April 30, 2027.
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
- May 1, 2025
- Certificate expiration
- April 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 1994
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 19D0888317
- Lab name
- Our Lady of the Lake Physician Group-Prairieville
- Address
- 17609 Jeffferson Hwy Suite D, Prairieville, LA 70769
- Phone
- (225) 647-8511
- Fax
- (225) 644-5213
Annual test volume the lab reported
- Waived tests
- 10,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Our Lady of the Lake Physician Group-Prairieville in Prairieville?
19D0888317, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of the Lake Physician Group-Prairieville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D0888317 expire?
The CMS file lists April 30, 2027 as the certificate expiration date; the certificate took effect May 1, 2025.