CLIA lab
CLIA 19D2113534: Carlock Family Medical Clinic
Otis, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2113534 belongs to Carlock Family Medical Clinic in Otis, LA.
Certificate of Waiver, effective May 24, 2026, expires May 23, 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 of Waiver
- Certificate effective
- May 24, 2026
- Certificate expiration
- May 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 24, 2016
- 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
- 19D2113534
- Lab name
- Carlock Family Medical Clinic
- Address
- 2778 Hwy 121, Otis, LA 71466
- Phone
- (318) 793-5020
- Fax
- (318) 793-5040
Annual test volume the lab reported
- Waived tests
- 4,000
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 Carlock Family Medical Clinic in Otis?
19D2113534, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carlock Family Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2113534 expire?
The CMS file lists May 23, 2028 as the certificate expiration date; the certificate took effect May 24, 2026.