19D1029831 CLIA NUMBER - BATON ROUGE PRIMARY CARE COLLABORATIVE

Laboratory Demographics

  • CLIA Code: 19D1029831
  • Facility Name: BATON ROUGE PRIMARY CARE COLLABORATIVE
  • Facility Address: 7050 PLANK ROAD
    BATON ROUGE, LA
    ZIP 70811
  • Facility Phone: 504 774-1120
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: STACIE M. BLAND
  • NPI Number: 1649645979
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 19D1029831
LAB Type Federally Qualified Health Center
Facility Name BATON ROUGE PRIMARY CARE COLLABORATIVE
Street 7050 PLANK ROAD
City BATON ROUGE
State LA
ZIP 70811
Phone 504 774-1120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Federally Qualified Health Center
Lab Director STACIE M. BLAND

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