19D0987366 CLIA NUMBER - LAKE AFTER HOURS - CENTRAL CONVENIENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D0987366
  • Facility Name: LAKE AFTER HOURS - CENTRAL CONVENIENT CARE, LLC
  • Facility Address: 8751 SULLIVAN RD
    BATON ROUGE, LA
    ZIP 70818
  • Facility Phone: 225 215-2145
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KEVIN DIBENEDETTO MD
  • NPI Number: 1497848477
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0987366
LAB Type Other
Facility Name LAKE AFTER HOURS - CENTRAL CONVENIENT CARE, LLC
Street 8751 SULLIVAN RD
City BATON ROUGE
State LA
ZIP 70818
Phone 225 215-2145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2025
Certificate Expiration Date 6/3/2027
Facility Type Other
Lab Director KEVIN DIBENEDETTO MD

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