19D2124567 CLIA NUMBER - EMERGING CARE OF LOUISIANA

Laboratory Demographics

CLIA Number: 19D2124567

Facility Name: EMERGING CARE OF LOUISIANA

Facility Address:
4021 W E HECK, STE B 2
BATON ROUGE, LA
ZIP 70816
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Facility Phone Number: 225 367-1022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417493024

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	19D2124567
LAB Type	Physician Office
Facility Name	EMERGING CARE OF LOUISIANA
Street	4021 W E HECK, STE B 2
City	BATON ROUGE
State	LA
ZIP	70816
Phone	225 367-1022
CertificateType	4
CertificateEffectiveDate	1/20/2023
CertificateExpirationDate	1/19/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024