19D0997184 CLIA NUMBER - LAKE AFTER HOURS - DRUSILLA CONVENIENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D0997184
  • Facility Name: LAKE AFTER HOURS - DRUSILLA CONVENIENT CARE, LLC
  • Facility Address: 3282 DRUSILLA LANE, SUITE A
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 924-3906
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KEVIN P. DIBENEDETTO
  • NPI Number: 1205143708
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0997184
LAB Type Other
Facility Name LAKE AFTER HOURS - DRUSILLA CONVENIENT CARE, LLC
Street 3282 DRUSILLA LANE, SUITE A
City BATON ROUGE
State LA
ZIP 70809
Phone 225 924-3906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Other
Lab Director KEVIN P. DIBENEDETTO

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