19D0985095 CLIA NUMBER - OLLIE STEELE BURDEN MANOR, INC

Laboratory Demographics

  • CLIA Code: 19D0985095
  • Facility Name: OLLIE STEELE BURDEN MANOR, INC
  • Facility Address: 4250 ESSEN LANE
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 926-0091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE R. PLAISANCE
  • NPI Number: 1891794095
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0985095
LAB Type Physician Office
Facility Name OLLIE STEELE BURDEN MANOR, INC
Street 4250 ESSEN LANE
City BATON ROUGE
State LA
ZIP 70809
Phone 225 926-0091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director WAYNE R. PLAISANCE

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