19D1087326 CLIA NUMBER - BATON ROUGE CLINIC AFFINITY BUILDING FAMILY MED

Laboratory Demographics

  • CLIA Code: 19D1087326
  • Facility Name: BATON ROUGE CLINIC AFFINITY BUILDING FAMILY MED
  • Facility Address: 2516 BROADMOOR BLVD SUITE 182
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 807-4956
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK STEPHENS
  • NPI Number: 1689838120
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D1087326
LAB Type Physician Office
Facility Name BATON ROUGE CLINIC AFFINITY BUILDING FAMILY MED
Street 2516 BROADMOOR BLVD SUITE 182
City MONROE
State LA
ZIP 71201
Phone 318 807-4956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director MARK STEPHENS

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