19D2205690 CLIA NUMBER - WELLNESS & HEALTH CLINIC LLC

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Laboratory Demographics

CLIA Number: 19D2205690

Facility Name: WELLNESS & HEALTH CLINIC LLC

Facility Address:
9241 BLUEBONNET BLVD, STE B
BATON ROUGE, LA
ZIP 70810
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Facility Phone Number: 225 228-7448

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073136602

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	19D2205690
LAB Type	Physician Office
Facility Name	WELLNESS & HEALTH CLINIC LLC
Street	9241 BLUEBONNET BLVD, STE B
City	BATON ROUGE
State	LA
ZIP	70810
Phone	225 228-7448
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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