19D2155565 CLIA NUMBER - EUGENE AND OLEANDER, LLC

Laboratory Demographics

  • CLIA Code: 19D2155565
  • Facility Name: EUGENE AND OLEANDER, LLC
  • Facility Address: 11715 BRICKSTONE AVE, SUITE A-6
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 246-7136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA S. CLARK
  • NPI Number: 1467927723
  • Taxonomy: 207QA0401X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director ERICA S. CLARK

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