19D0873362 CLIA NUMBER - KID MED SOUTH

Laboratory Demographics

  • CLIA Code: 19D0873362
  • Facility Name: KID MED SOUTH
  • Facility Address: 7612 PICARDY AVENUE SUITE C
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 767-3800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LATOYA LEONARD-HUGHES
  • NPI Number: 1194318469
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0873362
LAB Type Physician Office
Facility Name KID MED SOUTH
Street 7612 PICARDY AVENUE SUITE C
City BATON ROUGE
State LA
ZIP 70808
Phone 225 767-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director LATOYA LEONARD-HUGHES

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