19D1090447 CLIA NUMBER - LAKE AFTER HOURS HIGHLAND LEE CONVENIENT CARE LLC

Laboratory Demographics

  • CLIA Code: 19D1090447
  • Facility Name: LAKE AFTER HOURS HIGHLAND LEE CONVENIENT CARE LLC
  • Facility Address: 123 LEE DRIVE
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: 225 214-9352
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KEVIN P. DIBENEDETTO MD
  • NPI Number: 1821181801
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1090447
LAB Type Other
Facility Name LAKE AFTER HOURS HIGHLAND LEE CONVENIENT CARE LLC
Street 123 LEE DRIVE
City BATON ROUGE
State LA
ZIP 70808
Phone 225 214-9352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Other
Lab Director KEVIN P. DIBENEDETTO MD

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