19D2104812 CLIA NUMBER - TIGER VISION LLC

Laboratory Demographics

  • CLIA Code: 19D2104812
  • Facility Name: TIGER VISION LLC
  • Facility Address: 10423 OLD HAMMOND HWY
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 303-9271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN BOWMAN
  • NPI Number: 1063471985
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2104812
LAB Type Physician Office
Facility Name TIGER VISION LLC
Street 10423 OLD HAMMOND HWY
City BATON ROUGE
State LA
ZIP 70816
Phone 225 303-9271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director JONATHAN BOWMAN

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