19D1085357 CLIA NUMBER - LOUISIANA ENDOSCOPY CENTER BATON ROUGE LA ENDOSCOPY ASC LLC

Laboratory Demographics

  • CLIA Code: 19D1085357
  • Facility Name: LOUISIANA ENDOSCOPY CENTER BATON ROUGE LA ENDOSCOPY ASC LLC
  • Facility Address: 9103 JEFFERSON HIGHWAY
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 927-1190
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DOUGLAS WALSH
  • NPI Number: 1720262405
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1085357
LAB Type Ambulatory Surgery Center
Facility Name LOUISIANA ENDOSCOPY CENTER BATON ROUGE LA ENDOSCOPY ASC LLC
Street 9103 JEFFERSON HIGHWAY
City BATON ROUGE
State LA
ZIP 70809
Phone 225 927-1190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Ambulatory Surgery Center
Lab Director DOUGLAS WALSH

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