CLIA lab
CLIA 19D2103494: Kentwood Family Clinic LLC
Kentwood, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2103494 belongs to Kentwood Family Clinic LLC in Kentwood, LA.
Certificate of Waiver, effective October 14, 2025, expires October 13, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 14, 2025
- Certificate expiration
- October 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 2015
- Facility type
- Other practitioner
- 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
- 19D2103494
- Lab name
- Kentwood Family Clinic LLC
- Address
- 919 Avenue G, Kentwood, LA 70444
- Phone
- (337) 991-9276
- Fax
- (337) 991-9288
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kentwood, LA
- Fresenius Medical Care KentwoodCertificate of Waiver, End stage renal disease dialysis facility19D0974533
- Oceans Behavorial Hospital of KentwoodCertificate of Waiver, Hospital19D1069318
- Schilling PharmacyCertificate of Waiver, Pharmacy19D2184634
- Southeast Regional Medical CenterCertificate of Waiver, Hospital19D0984756
Related
Questions
What is the CLIA number for Kentwood Family Clinic LLC in Kentwood?
19D2103494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kentwood Family Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2103494 expire?
The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.