19D2076514 CLIA NUMBER - BATON ROUGE CLINIC AFFINITY ENT

Laboratory Demographics

  • CLIA Code: 19D2076514
  • Facility Name: BATON ROUGE CLINIC AFFINITY ENT
  • Facility Address: 920 OLIVER ROAD SUITE L2
    MONROE, LA
    ZIP 71201
  • Facility Phone: 318 812-1125
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STUART MELTON
  • NPI Number: 1750793378
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 19D2076514
LAB Type Physician Office
Facility Name BATON ROUGE CLINIC AFFINITY ENT
Street 920 OLIVER ROAD SUITE L2
City MONROE
State LA
ZIP 71201
Phone 318 812-1125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director STUART MELTON

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