19D0914894 CLIA NUMBER - OHC-O'NEAL

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CLIA Record

Field Name Field Value
CLIA Number 19D0914894
LAB Type Physician Office
Facility Name OHC-O'NEAL
Street 16777 MEDICAL CENTER DRIVE
City BATON ROUGE
State LA
ZIP 70816
Phone 225 754-5540
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director TIFFANY DAVIS

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