19D2271425 CLIA NUMBER - ACT ONE HEALTH

Laboratory Demographics

  • CLIA Code: 19D2271425
  • Facility Name: ACT ONE HEALTH
  • Facility Address: 1012 SOUTH ACADIAN, SUITE 10
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 281-7333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED SPENCE WILLIS JR
  • NPI Number: 1609543701
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2271425
LAB Type Physician Office
Facility Name ACT ONE HEALTH
Street 1012 SOUTH ACADIAN, SUITE 10
City BATON ROUGE
State LA
ZIP 70806
Phone 225 281-7333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director FRED SPENCE WILLIS JR

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