19D2166190 CLIA NUMBER - LAKE WELLNESS CENTER LLC-BATON ROUGE

Laboratory Demographics

  • CLIA Code: 19D2166190
  • Facility Name: LAKE WELLNESS CENTER LLC-BATON ROUGE
  • Facility Address: 7434 PICARDY AVENUE, STE A AND B
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: (225) 470-5253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELSIE M. GRAJA
  • NPI Number: 1346707080
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2166190
LAB Type Physician Office
Facility Name LAKE WELLNESS CENTER LLC-BATON ROUGE
Street 7434 PICARDY AVENUE, STE A AND B
City BATON ROUGE
State LA
ZIP 70808
Phone 2254705253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director KELSIE M. GRAJA

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This page was last updated on: 5/18/2026