(337) 436-9557

830 W Bayou Pines Dr, Lake Charles, LA 70601

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Forms

Semen Kit Instructions

Collection / Rejection Guidelines Forms

Semen Kit Instructions

Clinical Pathology Patients

HIPAA Release of Authorization

Forms

HIPAA Release of Authorization

HIV Consent

Forms

HIV Consent

Allergen ABN

Forms

Allergen ABN

MMR and Medicaid Patient Responsibility Form

Forms

MMR and Medicaid Patient Responsibility Form

Allergy Testing Requisition updated Nov 2019

Forms

Allergy Testing Requisition updated Nov 2019

Clinical Requisition and ABN (exp 2029)

Forms

Clinical Requisition and ABN (exp 2029)

Insurance Noncoverage Form

Forms

Insurance Noncoverage Form

Tissue/Pap Requsition and ABN (exp 2029)

Forms

Tissue/Pap Requsition and ABN (exp 2029)

Reflex Testing (updated 8-11-2025)

Forms Reflex Testing

Reflex Testing (updated 8-11-2025)

Patients

Bone Marrow Procedure Guideline Patient

Forms Procedure

Bone Marrow Procedure Guideline Patient

Patients

HIPAA Release of Authorization (updated 7-2025)

Forms

HIPAA Release of Authorization (updated 7-2025)

Patients

The Pathology Laboratory

Monday – Friday: 7:00 AM – 5:00 PM
Saturday: 8:00 AM – 11:00 PM
Sunday: Closed

Contact Us

(337) 436-9557
830 W Bayou Pines Dr, Lake Charles, LA 70601

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