19D2263804 CLIA NUMBER - FARLEY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D2263804
  • Facility Name: FARLEY PRIMARY CARE
  • Facility Address: 3557 MONTERREY DR
    BATON ROUGE, LA
    ZIP 70814
  • Facility Phone: 225 218-4992
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JACQUELINE R. FARLEY
  • NPI Number: 1578285946
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2263804
LAB Type Practitioner Other
Facility Name FARLEY PRIMARY CARE
Street 3557 MONTERREY DR
City BATON ROUGE
State LA
ZIP 70814
Phone 225 218-4992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Practitioner Other
Lab Director JACQUELINE R. FARLEY

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