19D0976089 CLIA NUMBER - BEACON BEHAVORIAL OUTPATIENT - BATON ROUGE

Laboratory Demographics

  • CLIA Code: 19D0976089
  • Facility Name: BEACON BEHAVORIAL OUTPATIENT - BATON ROUGE
  • Facility Address: 10425 PLAZA AMERICANA
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 810-4719
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SANAZ JASMIN
  • NPI Number: 1891328787
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 19D0976089
LAB Type Hospital
Facility Name BEACON BEHAVORIAL OUTPATIENT - BATON ROUGE
Street 10425 PLAZA AMERICANA
City BATON ROUGE
State LA
ZIP 70816
Phone 225 810-4719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Hospital
Lab Director SANAZ JASMIN

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