19D1081861 CLIA NUMBER - BLUEBONNET IMAGING CENTER

Laboratory Demographics

  • CLIA Code: 19D1081861
  • Facility Name: BLUEBONNET IMAGING CENTER
  • Facility Address: 4570 BLUEBONNET BOULEVARD SUITE B
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 298-3223
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JIMMY QUEBEDEAUX
  • NPI Number: 1942393699
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1081861
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLUEBONNET IMAGING CENTER
Street 4570 BLUEBONNET BOULEVARD SUITE B
City BATON ROUGE
State LA
ZIP 70809
Phone 225 298-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JIMMY QUEBEDEAUX

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