19D2015932 CLIA NUMBER - CORE CLINICS, LLC CORE HEALTH FAMILY WALKIN & CORE OCCUPATIONAL CLNC

Laboratory Demographics

  • CLIA Code: 19D2015932
  • Facility Name: CORE CLINICS, LLC CORE HEALTH FAMILY WALKIN & CORE OCCUPATIONAL CLNC
  • Facility Address: 10059 N REIGER ROAD
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 756-2676
  • Facility Type: Other - WALKIN & OCCUPATIONAL CLN
  • Facility Type: Waiver
  • Lab Director: MAJOR J. MITTENDORF
  • NPI Number: 1093023285
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 19D2015932
LAB Type Other - WALKIN & OCCUPATIONAL CLN
Facility Name CORE CLINICS, LLC CORE HEALTH FAMILY WALKIN & CORE OCCUPATIONAL CLNC
Street 10059 N REIGER ROAD
City BATON ROUGE
State LA
ZIP 70809
Phone 225 756-2676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Other - WALKIN & OCCUPATIONAL CLN
Lab Director MAJOR J. MITTENDORF

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