19D0990305 CLIA NUMBER - BATON ROUGE CLINIC OLIVER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D0990305
  • Facility Name: BATON ROUGE CLINIC OLIVER PEDIATRICS
  • Facility Address: 920 OLIVER ROAD, SUITE K
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 807-6263
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGOT EASON
  • NPI Number: 1669918819
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0990305
LAB Type Physician Office
Facility Name BATON ROUGE CLINIC OLIVER PEDIATRICS
Street 920 OLIVER ROAD, SUITE K
City MONROE
State LA
ZIP 71201
Phone 318 807-6263
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director MARGOT EASON

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