CLIA lab
CLIA 19D2072157: Kelly J Boudreaux
Walker, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2072157 belongs to Kelly J Boudreaux in Walker, LA.
Certificate for Provider-Performed Microscopy Procedures, effective January 27, 2026, expires January 26, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 27, 2026
- Certificate expiration
- January 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2014
- 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
- 19D2072157
- Lab name
- Kelly J Boudreaux
- Address
- 5000 O'donovan Boulevard, Suite 502, Walker, LA 70785
- Phone
- (225) 766-8100
- Fax
- (225) 766-3240
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 500
- Total
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Walker, LA
- BRG Express Care & Occupational Medicine-WalkerCertificate of Waiver, Physician office19D2097550
- Dermatology ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office19D2080688
- Fresenius Kidney Care WalkerCertificate of Waiver, End stage renal disease dialysis facility19D1057485
- Integrated Dematology of Ponchatoula, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office19D2155318
- Lake After Hours-WalkerCertificate of Waiver, Other19D2159049
- North Oaks Urgent Care - WalkerCertificate of Waiver, Other19D1028290
- Olol Physician Group - Livingston ClinicCertificate of Waiver, Physician office19D2050175
- Ololch Livingston PediatricsCertificate of Waiver, Physician office19D2303574
- Orion LaboratoriesCertificate of Waiver, Independent19D2345590
- Our Lady of the Lake - LivingstonCertificate of Accreditation, Hospital19D2044119
Related
Questions
What is the CLIA number for Kelly J Boudreaux in Walker?
19D2072157, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly J Boudreaux hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 19D2072157 expire?
The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.