19D1008697 CLIA NUMBER - JON V SCHELLACK, MD, APMC

Laboratory Demographics

  • CLIA Code: 19D1008697
  • Facility Name: JON V SCHELLACK, MD, APMC
  • Facility Address: 8585 PICARDY AVE, SUITE 310
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 767-5479
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON V. SHELLACK, MD
  • NPI Number: 1780675736
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D1008697
LAB Type Physician Office
Facility Name JON V SCHELLACK, MD, APMC
Street 8585 PICARDY AVE, SUITE 310
City BATON ROUGE
State LA
ZIP 70809
Phone 225 767-5479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director JON V. SHELLACK, MD

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