19D2155565 CLIA NUMBER - EUGENE AND OLEANDER, LLC

Laboratory Demographics

CLIA Number: 19D2155565

Facility Name: EUGENE AND OLEANDER, LLC

Facility Address:
11715 BRICKSTONE AVE, SUITE A-6
BATON ROUGE, LA
ZIP 70816
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Facility Phone Number: 225 246-7136

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467927723

Taxonomy: 207QA0401X - Family Medicine
A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLIA Record

Field Name	Field Value
CLIA Number	19D2155565
LAB Type	Physician Office
Facility Name	EUGENE AND OLEANDER, LLC
Street	11715 BRICKSTONE AVE, SUITE A-6
City	BATON ROUGE
State	LA
ZIP	70816
Phone	225 246-7136
CertificateType	4
CertificateEffectiveDate	10/2/2022
CertificateExpirationDate	10/1/2024
FacilityType	Waiver

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