19D2303617 CLIA NUMBER - REDSTICK CLINIC, LLC, THE

Laboratory Demographics

  • CLIA Code: 19D2303617
  • Facility Name: REDSTICK CLINIC, LLC, THE
  • Facility Address: 4600 SHERWOOD COMMON BLVD, SUITE 403
    BATON ROUGE, LA
    ZIP 70816
  • Facility Phone: 225 218-4816
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: REBECCA A. DAVIS
  • NPI Number: 1154309318
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2303617
LAB Type Practitioner Other
Facility Name REDSTICK CLINIC, LLC, THE
Street 4600 SHERWOOD COMMON BLVD, SUITE 403
City BATON ROUGE
State LA
ZIP 70816
Phone 225 218-4816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Practitioner Other
Lab Director REBECCA A. DAVIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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