19D2104583 CLIA NUMBER - NOTRE DAME HOSPICE OF BATON ROUGE

Laboratory Demographics

  • CLIA Code: 19D2104583
  • Facility Name: NOTRE DAME HOSPICE OF BATON ROUGE
  • Facility Address: 11616 SOUTH FORK AVENUE, SUITE 402
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 504 227-3600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAWN VERRET
  • NPI Number: 1518358266
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2104583
LAB Type Hospice
Facility Name NOTRE DAME HOSPICE OF BATON ROUGE
Street 11616 SOUTH FORK AVENUE, SUITE 402
City BATON ROUGE
State LA
ZIP 70816
Phone 504 227-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Hospice
Lab Director DAWN VERRET

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