19D2283942 CLIA NUMBER - STOA BEHAVIORAL LLC

Laboratory Demographics

  • CLIA Code: 19D2283942
  • Facility Name: STOA BEHAVIORAL LLC
  • Facility Address: 11888 FLORIDA BLVD
    BATON ROUGE, LA
    ZIP 70815
  • Facility Phone: 512 592-1036
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: NICHOLAS STAROBIN
  • NPI Number: 1659072478
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D2283942
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name STOA BEHAVIORAL LLC
Street 11888 FLORIDA BLVD
City BATON ROUGE
State LA
ZIP 70815
Phone 512 592-1036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director NICHOLAS STAROBIN

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