19D2304534 CLIA NUMBER - MAT'S CLINIC LLC

Laboratory Demographics

  • CLIA Code: 19D2304534
  • Facility Name: MAT'S CLINIC LLC
  • Facility Address: 624 CONNELL'S PARK LANE SUITE A1
    BATON ROUGE, LA
    ZIP 70806
  • Facility Phone: 225 468-6287
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVE DAIGLE
  • NPI Number: 1326875931
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2304534
LAB Type Physician Office
Facility Name MAT'S CLINIC LLC
Street 624 CONNELL'S PARK LANE SUITE A1
City BATON ROUGE
State LA
ZIP 70806
Phone 225 468-6287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director DAVE DAIGLE

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