19D2151917 CLIA NUMBER - BATON ROUGE VASCULAR ACCESS ASC, LLC

Laboratory Demographics

  • CLIA Code: 19D2151917
  • Facility Name: BATON ROUGE VASCULAR ACCESS ASC, LLC
  • Facility Address: 505 EAST AIRPORT ROAD
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 769-2572
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT LANDRY
  • NPI Number: 1023542339
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2151917
LAB Type Ambulatory Surgery Center
Facility Name BATON ROUGE VASCULAR ACCESS ASC, LLC
Street 505 EAST AIRPORT ROAD
City BATON ROUGE
State LA
ZIP 70806
Phone 225 769-2572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT LANDRY

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