CLIA lab
CLIA 19D1033707: Albertsons Pharmacy # 0717
Lake Charles, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1033707 belongs to Albertsons Pharmacy # 0717 in Lake Charles, LA.
Certificate of Waiver, effective November 16, 2025, expires November 15, 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
- November 16, 2025
- Certificate expiration
- November 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2004
- Facility type
- Pharmacy
- 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
- 19D1033707
- Lab name
- Albertsons Pharmacy # 0717
- Address
- 4060 Ryan Street, Lake Charles, LA 70605
- Phone
- (337) 478-9197
- Fax
- (337) 480-0070
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Accurate Clinical Research, IncCertificate of Waiver, Other19D2186492
- Advanced Orthopedics and Sports MedicineCertificate of Compliance, Physician office19D2142238
- Albertsons Pharmacy #2798Certificate of Waiver, Pharmacy19D1033777
- Allied Health, LLCCertificate of Waiver, Physician office19D2164203
- Amd Clinica HispanaCertificate of Waiver, Other practitioner19D2284036
Related
Questions
What is the CLIA number for Albertsons Pharmacy # 0717 in Lake Charles?
19D1033707, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Albertsons Pharmacy # 0717 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1033707 expire?
The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.