19D2294040 CLIA NUMBER - CHOSEN BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 19D2294040
  • Facility Name: CHOSEN BEHAVIORAL HEALTH
  • Facility Address: 2285 NORTH STREET
    BATON ROUGE, LA
    ZIP 70802
  • Facility Phone: 225 218-5647
  • Facility Type: Other - SA INTENSIVE OP PROGRAM
  • Facility Type: Waiver
  • Lab Director: RACINE FIELDS
  • NPI Number: 1831963099
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2294040
LAB Type Other - SA INTENSIVE OP PROGRAM
Facility Name CHOSEN BEHAVIORAL HEALTH
Street 2285 NORTH STREET
City BATON ROUGE
State LA
ZIP 70802
Phone 225 218-5647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - SA INTENSIVE OP PROGRAM
Lab Director RACINE FIELDS

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