CLIA lab
CLIA 19D2015634: Our Lady of the Lake Physician Group-Westside
Port Allen, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2015634 belongs to Our Lady of the Lake Physician Group-Westside in Port Allen, LA.
Certificate of Waiver, effective October 29, 2024, expires October 28, 2026.
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
- October 29, 2024
- Certificate expiration
- October 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 29, 2010
- 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
- 19D2015634
- Lab name
- Our Lady of the Lake Physician Group-Westside
- Address
- 4353 La Hwy 1, Port Allen, LA 70767
- Phone
- (225) 749-2645
- Fax
- (225) 749-8216
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Baton Rouge Genral Physicians - Family MedicineCertificate of Waiver, Physician office19D2070174
- Bma WestportCertificate of Waiver, End stage renal disease dialysis facility19D0668670
- Brgp-BruslyCertificate of Waiver, Physician office19D2276905
- Legacy Nursing & Rehabilitation of Port AllenCertificate of Waiver, Skilled nursing or nursing facility19D0674756
- Prime Occupational MedicineCertificate of Waiver, Physician office19D0943749
- Walgreens #15366Certificate of Waiver, Pharmacy19D2220413
- Walmart Pharmacy #10-1136Certificate of Waiver, Pharmacy19D2141207
- West Baton Rouge Family andCertificate of Waiver, Physician office19D1000495
- West Baton Rouge Fire District 1Certificate of Waiver, Ambulance19D2302217
Related
Questions
What is the CLIA number for Our Lady of the Lake Physician Group-Westside in Port Allen?
19D2015634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of the Lake Physician Group-Westside hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2015634 expire?
The CMS file lists October 28, 2026 as the certificate expiration date; the certificate took effect October 29, 2024.