19D2069459 CLIA NUMBER - M V JOHN MD LLC

Laboratory Demographics

  • CLIA Code: 19D2069459
  • Facility Name: M V JOHN MD LLC
  • Facility Address: 4021 WE HECK CT, BUILDING M-1
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 263-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN V. MARKUS
  • NPI Number: 1376054726
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 19D2069459
LAB Type Physician Office
Facility Name M V JOHN MD LLC
Street 4021 WE HECK CT, BUILDING M-1
City BATON ROUGE
State LA
ZIP 70816
Phone 225 263-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director JOHN V. MARKUS

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