19D2031275 CLIA NUMBER - LOUISIANA STAT CARE

Laboratory Demographics

  • CLIA Code: 19D2031275
  • Facility Name: LOUISIANA STAT CARE
  • Facility Address: 11055 SHOE CREEK DRIVE
    BATON ROUGE, LA
    ZIP 70818
  • Facility Phone: 225 261-4493
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA WOODARD
  • NPI Number: 1467736165
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2031275
LAB Type Physician Office
Facility Name LOUISIANA STAT CARE
Street 11055 SHOE CREEK DRIVE
City BATON ROUGE
State LA
ZIP 70818
Phone 225 261-4493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director AMANDA WOODARD

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