19D2102291 CLIA NUMBER - COLLABORATIVE MINDS LLC

Laboratory Demographics

  • CLIA Code: 19D2102291
  • Facility Name: COLLABORATIVE MINDS LLC
  • Facility Address: 10517 KENTSHIRE COURT
    BATON ROUGE, LA
    ZIP 70810
  • Facility Phone: 225 456-2884
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY W. WARNER
  • NPI Number: 1073863189
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2102291
LAB Type Physician Office
Facility Name COLLABORATIVE MINDS LLC
Street 10517 KENTSHIRE COURT
City BATON ROUGE
State LA
ZIP 70810
Phone 225 456-2884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director LARRY W. WARNER

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