19D2152994 CLIA NUMBER - BATON ROUGE ORTHOPAEDIC CLINIC PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 19D2152994
  • Facility Name: BATON ROUGE ORTHOPAEDIC CLINIC PAIN MANAGEMENT
  • Facility Address: 8080 BLUEBONNET BLVD SUITE 3400
    BATON ROUGE, LA
    ZIP 70810
  • Facility Phone: 225 442-3166
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY S. MCDANIEL
  • NPI Number: 1598267262
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2152994
LAB Type Physician Office
Facility Name BATON ROUGE ORTHOPAEDIC CLINIC PAIN MANAGEMENT
Street 8080 BLUEBONNET BLVD SUITE 3400
City BATON ROUGE
State LA
ZIP 70810
Phone 225 442-3166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Physician Office
Lab Director GARY S. MCDANIEL

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