19D2274474 CLIA NUMBER - SME COALITION FOR CHANGE

Laboratory Demographics

  • CLIA Code: 19D2274474
  • Facility Name: SME COALITION FOR CHANGE
  • Facility Address: 12278 PLANK RD
    BATON ROUGE, LA
    ZIP 70811
  • Facility Phone: 225 364-9428
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SUSIE KING-DUNCAN
  • NPI Number: 1306625868
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2274474
LAB Type Comp. Outpatient Rehab Facility
Facility Name SME COALITION FOR CHANGE
Street 12278 PLANK RD
City BATON ROUGE
State LA
ZIP 70811
Phone 225 364-9428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director SUSIE KING-DUNCAN

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