19D2047556 CLIA NUMBER - ROBERT S TAYLOR, MD

Laboratory Demographics

  • CLIA Code: 19D2047556
  • Facility Name: ROBERT S TAYLOR, MD
  • Facility Address: 6110 MAIN STREET, SUITE C
    ZACHARY, LA
    ZIP 70791
  • Facility Phone: 225 766-8100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT S. TAYLOR
  • NPI Number: 1003852302
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 19D2047556
LAB Type Physician Office
Facility Name ROBERT S TAYLOR, MD
Street 6110 MAIN STREET, SUITE C
City ZACHARY
State LA
ZIP 70791
Phone 225 766-8100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director ROBERT S. TAYLOR

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