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19D2191583 CLIA NUMBER - SELA AQUATICS

Laboratory Demographics

CLIA Number: 19D2191583

Facility Name: SELA AQUATICS

Facility Address:
1272 WYLIE DR
BATON ROUGE, LA
ZIP 70808
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Facility Phone Number: 504 451-2979

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1275111056

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 19D2191583
LAB Type Independent
Facility Name SELA AQUATICS
Street 1272 WYLIE DR
City BATON ROUGE
State LA
ZIP 70808
Phone 504 451-2979
CertificateType 4
CertificateEffectiveDate 8/28/2022
CertificateExpirationDate 8/27/2024
FacilityType Waiver

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