CLIA lab
CLIA 19D1074989: Our Lady of the Lake Physician Group ST Clare
Gonzales, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1074989 belongs to Our Lady of the Lake Physician Group ST Clare in Gonzales, LA.
Certificate of Waiver, effective February 14, 2026, expires February 13, 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
- February 14, 2026
- Certificate expiration
- February 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2007
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 19D1074989
- Lab name
- Our Lady of the Lake Physician Group ST Clare
- Address
- 1014 W St Clare Suite 3010, Gonzales, LA 70737
- Phone
- (225) 743-2737
- Fax
- (225) 743-2459
Annual test volume the lab reported
- Waived tests
- 8,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Our Lady of the Lake Physician Group ST Clare in Gonzales?
19D1074989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of the Lake Physician Group ST Clare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1074989 expire?
The CMS file lists February 13, 2028 as the certificate expiration date; the certificate took effect February 14, 2026.