CLIA lab
CLIA 19D1005933: Pediatric and Adolescent Clinic of Louisiana LLC
Vidalia, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1005933 belongs to Pediatric and Adolescent Clinic of Louisiana LLC in Vidalia, LA.
Certificate of Compliance, effective October 20, 2026, expires October 19, 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 Compliance
- Certificate effective
- October 20, 2026
- Certificate expiration
- October 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 2002
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D1005933
- Lab name
- Pediatric and Adolescent Clinic of Louisiana LLC
- Address
- 1806 Carter Street, Vidalia, LA 71373
- Phone
- (318) 336-7172
- Fax
- (318) 336-7176
Annual test volume the lab reported
- Waived tests
- 367
- Other nonwaived tests
- 2,004
- Total
- 2,371
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Vidalia, LA
- Christus Trinity Clinic Cardiology - VidaliaCertificate of Waiver, Community clinic19D2308398
- Enhabit Hospice of VidaliaCertificate of Waiver, Hospice19D2022114
- Fairbanks Orthopedic CenterCertificate of Accreditation, Physician office19D2059403
- Intensive Home Healthcare and Hospice of LouisianaCertificate of Waiver, Hospice19D2016328
- J Kevin Ingram MedicalCertificate of Waiver, Physician office19D1088143
- Louisiana Ear Nose & Throat Specialists, IncCertificate of Waiver, Physician office19D2313762
- Medcentris Specialty GroupCertificate of Waiver, Physician office19D2255691
- Miss Lou Family HealthCertificate of Waiver, Other practitioner19D2267873
- Miss-Lou Eye CareCertificate of Waiver, Other25D2083284
- Renal Care Group-SoutheastCertificate of Waiver, End stage renal disease dialysis facility19D0693220
Related
Questions
What is the CLIA number for Pediatric and Adolescent Clinic of Louisiana LLC in Vidalia?
19D1005933, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric and Adolescent Clinic of Louisiana LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 19D1005933 expire?
The CMS file lists October 19, 2028 as the certificate expiration date; the certificate took effect October 20, 2026.