CLIA lab
CLIA 19D0937302: Provenza Community Home
Zwolle, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0937302 belongs to Provenza Community Home in Zwolle, LA.
Certificate of Waiver, effective December 15, 2025, expires December 14, 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
- December 15, 2025
- Certificate expiration
- December 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 15, 1997
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- 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
- 19D0937302
- Lab name
- Provenza Community Home
- Address
- 144 Hamlin Road, Zwolle, LA 71486
- Phone
- (318) 645-4191
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Zwolle, LA
Related
Questions
What is the CLIA number for Provenza Community Home in Zwolle?
19D0937302, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provenza Community Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D0937302 expire?
The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.