19D2026236 CLIA NUMBER - BATON ROUGE CLINIC OLIVER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 19D2026236
  • Facility Name: BATON ROUGE CLINIC OLIVER FAMILY MEDICINE
  • Facility Address: 920 OLIVER ROAD, SUITE J
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 329-9202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STUART L. MELTON
  • NPI Number: 1023291226
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2026236
LAB Type Physician Office
Facility Name BATON ROUGE CLINIC OLIVER FAMILY MEDICINE
Street 920 OLIVER ROAD, SUITE J
City MONROE
State LA
ZIP 71201
Phone 318 329-9202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director STUART L. MELTON

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