19D0990939 CLIA NUMBER - COMMUNITY ADVOCACY

Laboratory Demographics

  • CLIA Code: 19D0990939
  • Facility Name: COMMUNITY ADVOCACY
  • Facility Address: 2041 SILVERSIDE DRIVE
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 765-7617
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MONIQUE C. MARINO
  • NPI Number: 1578863692
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 19D0990939
LAB Type Community Clinic
Facility Name COMMUNITY ADVOCACY
Street 2041 SILVERSIDE DRIVE
City BATON ROUGE
State LA
ZIP 70808
Phone 225 765-7617
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Community Clinic
Lab Director MONIQUE C. MARINO

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