19D2145237 CLIA NUMBER - BASILE FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 19D2145237
  • Facility Name: BASILE FAMILY HEALTHCARE
  • Facility Address: 2932 STAGG AVE, SUITE A
    BASILE, LA
    ZIP 70515
  • Facility Phone: 337 432-5552
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENA ROY
  • NPI Number: 1225689821
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2145237
LAB Type Physician Office
Facility Name BASILE FAMILY HEALTHCARE
Street 2932 STAGG AVE, SUITE A
City BASILE
State LA
ZIP 70515
Phone 337 432-5552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Physician Office
Lab Director JENA ROY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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