19D1104004 CLIA NUMBER - NEUROMEDICAL CENTER CLINIC, THE

Laboratory Demographics

  • CLIA Code: 19D1104004
  • Facility Name: NEUROMEDICAL CENTER CLINIC, THE
  • Facility Address: 10101 PARK ROWE AVENUE SUITE 200
    BATON ROUGE, LA
    ZIP 70810
  • Facility Phone: 225 769-2200
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHENBO DONG
  • NPI Number: 1740216399
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D1104004
LAB Type Physician Office
Facility Name NEUROMEDICAL CENTER CLINIC, THE
Street 10101 PARK ROWE AVENUE SUITE 200
City BATON ROUGE
State LA
ZIP 70810
Phone 225 769-2200
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director CHENBO DONG

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