CLIA lab
CLIA 19D0901787: Lake Providence Medical Clinic
Lake Providence, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0901787 belongs to Lake Providence Medical Clinic in Lake Providence, LA.
Certificate of Compliance, effective November 10, 2025, expires November 9, 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 Compliance
- Certificate effective
- November 10, 2025
- Certificate expiration
- November 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 1995
- Facility type
- Physician office
- 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
- 19D0901787
- Lab name
- Lake Providence Medical Clinic
- Address
- 319 N Hood Street, Lake Providence, LA 71254
- Phone
- (318) 559-1221
- Fax
- (318) 559-3321
Annual test volume the lab reported
- Waived tests
- 2,232
- Other nonwaived tests
- 7,764
- Total
- 9,996
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Providence, LA
- Cypress at Lake Providence LLCCertificate of Waiver, Skilled nursing or nursing facility19D0464376
- 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
- Riverbend DetentionCertificate of Waiver, Prison19D2223656
Related
Questions
What is the CLIA number for Lake Providence Medical Clinic in Lake Providence?
19D0901787, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Providence Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 19D0901787 expire?
The CMS file lists November 9, 2027 as the certificate expiration date; the certificate took effect November 10, 2025.