19D0461334 CLIA NUMBER - MEENA A BAKARE MD

Laboratory Demographics

  • CLIA Code: 19D0461334
  • Facility Name: MEENA A BAKARE MD
  • Facility Address: 1008 6TH STREET
    MAMOU, LA
    ZIP 70554
  • Facility Phone: 337 468-2515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEENA A. BAKARE
  • NPI Number: 1407191133
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0461334
LAB Type Physician Office
Facility Name MEENA A BAKARE MD
Street 1008 6TH STREET
City MAMOU
State LA
ZIP 70554
Phone 337 468-2515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director MEENA A. BAKARE

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This page was last updated on: 9/29/2025