LAKE CHARLES URGENT CARE
NPI 1134530470
Clinic/Center - Urgent Care in Lake Charles, LA
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 19D2078015
- CLIA Cert. Type: Other - URGENT CARE WALKIN CLINIC
- CLIA Exp. Date: 05-19-2028
About LAKE CHARLES URGENT CARE
This page provides the complete NPI Profile along with additional information for Lake Charles Urgent Care, a provider established in Lake Charles, Louisiana operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1134530470 assigned on May 2014. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Melvin J Marque (Owner/medical Director)
- NPI
- 1134530470 Verify this NPI
- Provider Name
- LAKE CHARLES URGENT CARE
- Entity Type
- Organization
- Location Address
- 2400 RYAN ST LAKE CHARLES, LA 70601
- Location Phone
- (337) 990-8001
- Location Fax
- (225) 214-9349
- Mailing Address
- 1905 COUNTRY CLUB RD LAKE CHARLES, LA 70605
- Mailing Phone
- (337) 990-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2014
- Last Update Date
- 06-26-2025
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2078015
- Facility Type
- Other - URGENT CARE WALKIN CLINIC
- Certificate Effective Date
- May 20, 2026
- Certificate Expiration Date
- May 19, 2028
- Laboratory Director
- MELVIN MARQUE III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lake Charles Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134530470, enumerated as an "organization" on May 08, 2014.
The provider is located at 2400 RYAN ST LAKE CHARLES, LA 70601 and the phone number is (337) 990-8001.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
