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

Laboratory Demographics

CLIA Number: 19D0699505

Facility Name: BATON ROUGE GENERAL PHYSICIANS-FAMILY MEDICINE

Facility Address:
8333 GOODWOOD BLVD
BATON ROUGE, LA
ZIP 70806
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Facility Phone Number: 225 272-0106

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1881023646

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024