CLIA lab

CLIA 19D2069089: Montgomery Family Clinic

Montgomery, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D2069089 belongs to Montgomery Family Clinic in Montgomery, LA.

Certificate of Waiver, effective November 18, 2025, expires November 17, 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
November 18, 2025
Certificate expiration
November 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 2013
Facility type
Rural health clinic
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
19D2069089
Lab name
Montgomery Family Clinic
Address
641 Rowena Street, Montgomery, LA 71454
Phone
(318) 646-3000
Fax
(318) 646-3003

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Montgomery Family Clinic in Montgomery?

19D2069089, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Montgomery Family Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2069089 expire?

The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.

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