19D0699505 CLIA NUMBER - BATON ROUGE GENERAL PHYSICIANS-FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 19D0699505
  • Facility Name: BATON ROUGE GENERAL PHYSICIANS-FAMILY MEDICINE
  • Facility Address: 8333 GOODWOOD BLVD
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 272-0106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. BELLA
  • NPI Number: 1881023646
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0699505
LAB Type Physician Office
Facility Name BATON ROUGE GENERAL PHYSICIANS-FAMILY MEDICINE
Street 8333 GOODWOOD BLVD
City BATON ROUGE
State LA
ZIP 70806
Phone 225 272-0106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TIMOTHY A. BELLA

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