CLIA lab
CLIA 19D2177078: Lake Wellness Center, LLC - Boutte
Boutte, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2177078 belongs to Lake Wellness Center, LLC - Boutte in Boutte, LA.
Certificate of Waiver, effective January 3, 2026, expires January 2, 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
- January 3, 2026
- Certificate expiration
- January 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 3, 2020
- 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
- 19D2177078
- Lab name
- Lake Wellness Center, LLC - Boutte
- Address
- 13371 Highway 90, Suite B, Boutte, LA 70039
- Phone
- (888) 488-5253
- Fax
- (888) 523-5253
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.
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Related
Questions
What is the CLIA number for Lake Wellness Center, LLC - Boutte in Boutte?
19D2177078, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Wellness Center, LLC - Boutte hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2177078 expire?
The CMS file lists January 2, 2028 as the certificate expiration date; the certificate took effect January 3, 2026.