19D1037357 CLIA NUMBER - TOTAL OCCUPATIONAL MEDICINE CONVENIENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D1037357
  • Facility Name: TOTAL OCCUPATIONAL MEDICINE CONVENIENT CARE, LLC
  • Facility Address: 3282 DRUSILLA LANE SUITE B
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 924-4460
  • Facility Type: Other - OCCUPATINAL MEDICINE
  • Facility Type: Waiver
  • Lab Director: KEVIN DIBENEDETTO
  • NPI Number: 1457587693
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1037357
LAB Type Other - OCCUPATINAL MEDICINE
Facility Name TOTAL OCCUPATIONAL MEDICINE CONVENIENT CARE, LLC
Street 3282 DRUSILLA LANE SUITE B
City BATON ROUGE
State LA
ZIP 70809
Phone 225 924-4460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Other - OCCUPATINAL MEDICINE
Lab Director KEVIN DIBENEDETTO

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