CLIA lab
CLIA 19D1097097: Our Lady of the Lake Physician Group-Dutchtown
Prairieville, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1097097 belongs to Our Lady of the Lake Physician Group-Dutchtown in Prairieville, LA.
Certificate of Waiver, effective March 19, 2025, expires March 18, 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
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2009
- 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
- 19D1097097
- Lab name
- Our Lady of the Lake Physician Group-Dutchtown
- Address
- 14225 Hwy 73, Prairieville, LA 70769
- Phone
- (225) 647-8511
- Fax
- (225) 644-5213
Annual test volume the lab reported
- Waived tests
- 7,475
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-Dutchtown in Prairieville?
19D1097097, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of the Lake Physician Group-Dutchtown hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1097097 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.