19D1004385 CLIA NUMBER - TIFFANNY P CHEVALIER, MD

Laboratory Demographics

  • CLIA Code: 19D1004385
  • Facility Name: TIFFANNY P CHEVALIER, MD
  • Facility Address: 719 EAST AIRPORT AVE, SUITE B
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 927-7480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIFFANNY P. CHEVALIER
  • NPI Number: 1114070174
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D1004385
LAB Type Physician Office
Facility Name TIFFANNY P CHEVALIER, MD
Street 719 EAST AIRPORT AVE, SUITE B
City BATON ROUGE
State LA
ZIP 70806
Phone 225 927-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director TIFFANNY P. CHEVALIER

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