19D2102914 CLIA NUMBER - WEILER PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 19D2102914
  • Facility Name: WEILER PLASTIC SURGERY
  • Facility Address: 4212 BLUEBONNET BLVD, SUITE A
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 399-0001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN E. WEILER
  • NPI Number: 1619201530
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 19D2102914
LAB Type Physician Office
Facility Name WEILER PLASTIC SURGERY
Street 4212 BLUEBONNET BLVD, SUITE A
City BATON ROUGE
State LA
ZIP 70809
Phone 225 399-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director JONATHAN E. WEILER

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