19D2294040 CLIA NUMBER - CHOSEN BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 19D2294040

Facility Name: CHOSEN BEHAVIORAL HEALTH

Facility Address:
4184 NORTH BLVD
BATON ROUGE, LA
ZIP 70806
Get Directions

Facility Phone Number: 225 218-5644

Facility Type: Other - SA INTENSIVE OP PROGRAM

Certificate Type: Waiver

NPI Number: 1831963099

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2294040
LAB Type	Other - SA INTENSIVE OP PROGRAM
Facility Name	CHOSEN BEHAVIORAL HEALTH
Street	4184 NORTH BLVD
City	BATON ROUGE
State	LA
ZIP	70806
Phone	225 218-5644
CertificateType	4
CertificateEffectiveDate	11/17/2023
CertificateExpirationDate	11/16/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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