CLIA lab
CLIA 19D1058128: Maplewood Family Medicine Clinic
Sulphur, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1058128 belongs to Maplewood Family Medicine Clinic in Sulphur, LA.
Certificate of Waiver, effective August 30, 2026, expires August 29, 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 Waiver
- Certificate effective
- August 30, 2026
- Certificate expiration
- August 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 30, 2006
- 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
- 19D1058128
- Lab name
- Maplewood Family Medicine Clinic
- Address
- 3702 Maplewood Drive, Sulphur, LA 70663
- Phone
- (337) 625-5459
- Fax
- (337) 626-2045
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Calcasieu Family PhysiciansCertificate of Waiver, Physician office19D2054627
- Calcasieu Family Physicians of West Calcasieu CamCertificate of Waiver, Physician office19D2309992
- Calcasieu Urgent Care LLCCertificate of Waiver, Physician office19D2043050
- Calcasieu Urgent Care LLCCertificate of Waiver, Physician office19D2184626
- Childrens Clinic-Sw LaCertificate of Accreditation, Physician office19D0462011
- Community Health Center of WcchCertificate of Waiver, Community clinic19D2229545
- Cypress Clinic ManagementCertificate for Provider-Performed Microscopy Procedures, Physician office19D1029652
- Davies Family MedicineCertificate of Waiver, Physician office19D2093635
- Diabetes & Obesity Control LLCCertificate of Waiver, Physician office19D2322831
Related
Questions
What is the CLIA number for Maplewood Family Medicine Clinic in Sulphur?
19D1058128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maplewood Family Medicine Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1058128 expire?
The CMS file lists August 29, 2028 as the certificate expiration date; the certificate took effect August 30, 2026.