19D0954188 CLIA NUMBER - EAST BATON ROUGE DIALYSIS ISD RENAL INC

Laboratory Demographics

  • CLIA Code: 19D0954188
  • Facility Name: EAST BATON ROUGE DIALYSIS ISD RENAL INC
  • Facility Address: 1333 O'NEAL LANE
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 226-1444
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AMIN T. KAMYAR
  • NPI Number: 1477509420
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0954188
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST BATON ROUGE DIALYSIS ISD RENAL INC
Street 1333 O'NEAL LANE
City BATON ROUGE
State LA
ZIP 70816
Phone 225 226-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AMIN T. KAMYAR

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