19D0923675 CLIA NUMBER - BRG EXPRESS CARE & OCCUPATIONAL MEDICINE- GOODWOOD

Laboratory Demographics

  • CLIA Code: 19D0923675
  • Facility Name: BRG EXPRESS CARE & OCCUPATIONAL MEDICINE- GOODWOOD
  • Facility Address: 8742 GOODWOOD BLVD
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 231-7070
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRAD W. FRICK
  • NPI Number: 1316115678
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0923675
LAB Type Physician Office
Facility Name BRG EXPRESS CARE & OCCUPATIONAL MEDICINE- GOODWOOD
Street 8742 GOODWOOD BLVD
City BATON ROUGE
State LA
ZIP 70806
Phone 225 231-7070
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 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director BRAD W. FRICK

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