CLIA lab
CLIA 19D2021036: Mark C Mouton MD LLC
Baker, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2021036 belongs to Mark C Mouton MD LLC in Baker, LA.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2011
- 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
- 19D2021036
- Lab name
- Mark C Mouton MD LLC
- Address
- 12902 Plank Rd, Baker, LA 70714
- Phone
- (225) 774-7111
- Fax
- (225) 774-7714
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Baker, LA
- Calcasieu Urgent Care, LLCCertificate of Waiver, Physician office19D2232161
- Centerwell Senior Primary Care-BakerCertificate of Waiver, Physician office19D2298925
- Fresenius Medical Care BakerCertificate of Waiver, End stage renal disease dialysis facility19D0668665
- Impact Charter SchoolCertificate of Waiver, School or student health service19D2208770
- Lane Family Practice BakerCertificate of Waiver, Physician office19D2349587
- Lane Regional-SlpcCertificate of Waiver, Physician office19D2128833
- Northridge Care CenterCertificate of Waiver, Skilled nursing or nursing facility19D0680032
- Our Lady of the Lake Phycician GroupCertificate for Provider-Performed Microscopy Procedures, Community clinic19D0862417
- Positive DirectionCertificate of Waiver, Other19D2158072
- South Louisiana Primary Care, LLCCertificate of Waiver, Physician office19D2132966
Related
Questions
What is the CLIA number for Mark C Mouton MD LLC in Baker?
19D2021036, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mark C Mouton MD LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2021036 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.